New Team-Based Blood Pressure Care Model in Swedish Primary Care Clinics
Tests a new team-based care model for adults with high blood pressure in primary care.
Plain-language title generated from the registry record
Registry title: Sustainable Hypertension Management in Primary Health Care in Sweden
Key facts
- Where
- Helsingborg, SwedenSee the site
Where in Sweden
- Husensjö Primary Health Care CenterHelsingborg, SwedenTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Region Skane
- Trial code
- NCT06580613
- Record updated
- 21 September 2026
- Original description
New sustainable models of patient-focused and team-based care for patients with hypertension should be developed to achieve health improvements and cost-efficiency.Read full original descriptionShow less
Sustainable Hypertension Management in Primary Health Care in Sweden - Ett hållbart omhändertagande av Blodtryckspatienter i primärvården
New sustainable models of patient-focused and team-based care for patients with hypertension should be developed to achieve health improvements and cost-efficiency.
The aim of this project is to evaluate new ways of sustainable hypertension (HT) management in primary care, starting with a pilot study at 2 Primary Health Care Centres (PHCCs).
At intervention PHCCs cardiovascular risk is assessed with SCORE2 for all hypertension patients. The staff receives education on HT treatment and an easy-to-follow treatment protocol. Non-physicians lead patient education on HT in groups. Patients receive a home blood pressure (BP) monitor and communicate digitally with the assigned nurse on medication update, blood and urinary tests and follow up. The nurse consults with the physician if needed. Regular face to face visits with the physician are only scheduled for patients with high cardiovascular risk or end organ damage, otherwise for all patients if needed.
At the control PHCs hypertension care continues as usual. All participants will be asked to complete questionnaires after 6 and 24 months.
Outcomes are feasibility for the pilot study and the proportion of patients reaching BP target plus change in systolic BP, cardiovascular risk factors, patients´ and staff´s grade of satisfaction and knowledge, and health care costs for the main study, compared between intervention and control PHCCS. Results will help to establish sustainable models of treating HT patients in Primary Care.
Inclusion: Adult patients with hypertension.
Exclusion: secondary hypertension according to the medical records at the Primary Health Care Center; terminal illness; pregnancy-induced hypertension; cognitive impairment; psychotic disorder; impaired vision (not able to read measurements for the home BP measurements or communicate via "1177 direct" digitally).