Evidence map›Paper›PMID 37487684›Full record

ArticleBMJ open2023

Landscape of team-based care to manage hypertension: results from two surveys in low/middle-income countries.

Oluwabunmi Ogungbe, Danielle Cazabon, Andrew E Moran, Dinesh Neupane, Cheryl Dennison Himmelfarb, Anbrasi Edward, George W Pariyo, Lawrence J Appel, Kunihiro Matsushita, Zhang Hongwei and 13 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 9 institutions in 7 countries.

Oluwabunmi OgungbeJohns Hopkins School of Nursing, Baltimore, Maryland, USA.ORCID 0000-0003-1813-0906
Danielle CazabonResolve to Saves Lives, New York, New York, USA.ORCID 0000-0002-4326-2321
Andrew E MoranResolve to Saves Lives, New York, New York, USA.
Dinesh NeupaneDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0002-1501-2990
Cheryl Dennison HimmelfarbJohns Hopkins School of Nursing, Baltimore, Maryland, USA.
Anbrasi EdwardDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
George W PariyoDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Lawrence J AppelWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0002-0673-6823
Kunihiro MatsushitaWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA.
Zhang HongweiHospital of Shunyi District, Beijing, China.
Liu TongVital Strategies, Jinan, China.
Girma A DessieResolve to Saves Lives, New York, New York, USA.
Addisu WorkuFederal Ministry of Health, Addis Ababa, Ethiopia.
Sohel Reza ChoudhuryNational Heart Foundation of Bangladesh, Dhaka, Bangladesh.
Shamim JubayerNational Heart Foundation of Bangladesh, Dhaka, Bangladesh.
Mahfuzur Rahman BhuiyanNational Heart Foundation of Bangladesh, Dhaka, Bangladesh.
Shahinul IslamNational Heart Foundation of Bangladesh, Dhaka, Bangladesh.
Kufor OsiResolve to Saves Lives, New York, New York, USA.
Joseph OduResolve to Saves Lives, New York, New York, USA.
Emmanuel Chijioke ObaghaWorld Health Organization, Abuja, Nigeria.
Dike OjjiDepartment of Internal Medicine, University of Abuja, Abuja, Nigeria.
Mark D HuffmanDepartment of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.ORCID 0000-0001-7412-2519
Yvonne Commodore-MensahJohns Hopkins School of Nursing, Baltimore, Maryland, USA ycommod1@jhmi.edu.ORCID 0000-0002-5054-3025
Johns Hopkins University · USNational Heart Foundation Hospital & Research Institute · BDBangladesh University · BDColumbia University Irving Medical Center · USFederal Ministry of Health · ETNorthwestern University · USShunyi Hospital of Beijing Traditional Chinese Medicine Hospital · CNUniversity of Cape Town · ZAWorld Health Organization - Nigeria · NG

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectivesTeam-based care is essential for improving hypertension outcomes in low-resource settings. We assessed perceptions of country representatives and healthcare workers (HCWs) on team-based hypertension care in low/middle-income countries.

designTwo cross-sectional surveys.

settingThe first survey (Country Profile Survey) was conducted in 17 countries and eight in-country regions: Algeria, Bangladesh, Burundi, Chile, China (Beijing, Henan, Shandong), Cuba, Ethiopia, India (Kerala, Madhya Pradesh, Maharashtra, Punjab, Telangana), Nepal, Nigeria, Philippines, Saint Lucia, Sri Lanka, Thailand, Turkey, Uganda and Vietnam. The second survey (HCW Survey) was conducted in four countries: Bangladesh, China, Ethiopia and Nigeria.

participantsUsing convenience sampling, participants for the Country Profile Survey were representatives from 17 countries and eight in-country regions, and the HCW Survey was administered to HCWs in Bangladesh, China, Ethiopia and Nigeria. OUTCOME MEASURES: Country-level use of team-based hypertension care framework, comprising administrative, basic and advanced clinical tasks. Current practices of different HCW cadres, perspectives on team-based management of hypertension, barriers and facilitators.

resultsIn the Country Profile Survey, all (23/23, 100%) countries/regions surveyed integrated team-based care for basic clinical hypertension management tasks, less for advanced tasks (7/23, 30%). In the HCW Survey, 854 HCWs participated, 47% of whom worked in rural settings. Most HCWs in the sample acknowledged the value of team-based hypertension care. Although there were slight variations by country in the study sample, overall, barriers to team-based hypertension care were identified as inadequate training (83%); regulatory issues (76%); resistance by patients (56%), physicians (42%) and nurses (40%). Facilitators identified were use of treatment algorithms (94%), telehealth/m-health technology (92%) and adequate compensation for HCWs (80%).

conclusionsOur findings revealed key lessons for health systems and governments regarding team-based care implementation. Specifically, policies to facilitate additional training, optimise HCWs' roles within care teams, use of hypertension treatment protocols and telehealth/m-health technology will be essential to promote team-based care.

Indexed as

Developing CountriesHypertensionCross-Sectional StudiesHealth PersonnelHumansIndiaSurveys and QuestionnairesBlood PressureCardiac EpidemiologyEPIDEMIOLOGYHypertensionInternational health servicesPUBLIC HEALTH

Identifiers

PMID37487684
PMCPMC10373743
OpenAlexW4385211612

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.