ABSTRACT
Background:
Buurtzorg is a pioneering
healthcare organization founded in the
Netherlands. Buurtzorg has established independent,
self-managing teams of
nurses and promises high-quality
home care at a lower
cost through
person-centered care,
continuity of care, building trusting relationships, and networks in the
neighborhood. Traditional
home care services are increasingly reorganized according to the Buurtzorg-principles.
Objectives:
This
review aims to describe the experiences gathered during the implementation of the Buurtzorg-derived model outside the
Netherlands. It further outlines their potential effects.
Design:
Scoping
Review.
Methods:
Several
electronic databases were searched for relevant articles, supplemented by
hand-searching and
internet searches for
gray literature. Various
publication types that described the implementation of the Buurtzorg model or its outcomes in countries other than the
Netherlands were included. The data were analyzed using qualitative content
analysis. Two authors coded the data in several cycles and created categories and subcategories.
Results:
The
review identified 25
publications reporting the experiences or outcomes of Buurtzorg-derived models outside the
Netherlands. Upon implementing
elements of Buurtzorg, the
home care organizations adopted a
person-centered care approach, with improved
communication with
patients and
family caregivers, and could establish new networks with other services. The main challenges were related to the
self-managed working
culture, the organizational framework, or national
healthcare policies, which hindered the implementation process.
Conclusions:
The implementation of Buurtzorg-derived models is complex, challenging, and requires adaptations on several levels upskilling of networking and
staffing competencies in teams,
leadership and IT requirements in the
organization, and
policy changes in the healthcare system. Individualized approaches and solid conceptual preparation are required for implementation. Tweetable abstract Experiences with the implementation of Buurtzorg in
home care services outside the
Netherlands. A scoping
review @HegeduesAnna.