MultiHub Forum

I'm a family physician in a busy primary care practice, and despite following guidelines, I'm frustrated by the high rate of uncontrolled hypertension among my patients, particularly those with complex social determinants like food insecurity and medication cost concerns. I prescribe medications and advise lifestyle changes, but the standard 15-minute visit feels inadequate to address the root causes of non-adherence or provide meaningful support for diet and exercise modifications. For other primary care providers, what systemic changes or innovative workflows have you implemented to improve long-term hypertension management? How do you effectively integrate resources like health coaches, pharmacists, or community programs into your care model to address the barriers that extend beyond the clinic walls?