2012
DOI: 10.3122/jabfm.2012.02.100279
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Delegating Responsibility from Clinicians to Nonprofessional Personnel: The Example of Hypertension Control

Abstract: Background: Involving nonclinician personnel in the treatment of hypertension may provide a solution to improve blood pressure control; however, this team-based approach cannot be implemented without first determining clinicians' willingness to delegate patient care to nonclinician team members. This study explores clinicians' perspectives on working with nonclinicians trained as "health coaches" to address medication adherence and lack of medication intensification among low-income patients with uncontrolled … Show more

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Cited by 31 publications
(22 citation statements)
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“…Physician attitudes were critical to the other team members in this interdependent process (Margolius, Wong, Goldman, Rouse-Iniguez, & Bodenheimer, 2012;Saba et al, 2012). Although physicians depended on MAs to ensure screening forms were completed, MAs and receptionists saw no reason to prioritize screening if physicians did not use the information.…”
Section: Discussionmentioning
confidence: 99%
“…Physician attitudes were critical to the other team members in this interdependent process (Margolius, Wong, Goldman, Rouse-Iniguez, & Bodenheimer, 2012;Saba et al, 2012). Although physicians depended on MAs to ensure screening forms were completed, MAs and receptionists saw no reason to prioritize screening if physicians did not use the information.…”
Section: Discussionmentioning
confidence: 99%
“…12,17 In our study, primary care clinicians were enthusiastic about the participation of health coaches. 21 The clinical outcomes achieved suggest that redesigning primary care for hypertension care does not require high-cost professionals.…”
Section: Discussionmentioning
confidence: 99%
“…Team-based care models are being implemented across the country (23–25), and evidence in favor of this approach is strong (26,27). However, shifting to team-based care is not easy (28).…”
Section: Discussionmentioning
confidence: 99%