Hypertension management in primary care: addressing cost and adherence barriers

[Emily64]

I'm a family physician in a community health center, and I'm increasingly frustrated by the systemic barriers to effective hypertension management in primary care. Many of my patients struggle with medication adherence due to cost or side effects, and we lack the resources for consistent follow-up and lifestyle coaching. For other primary care providers, how are you adapting your practice to improve long-term outcomes? Have you implemented successful models like pharmacist-led medication therapy management, group visits for patient education, or remote blood pressure monitoring programs, and what practical tools do you use to help patients navigate dietary changes within their cultural and economic constraints?