Implementing Buurtzorg-derived models in the home care setting: a Scoping Review.

Area of Science:

• Healthcare Management
• Nursing
• Public Health Policy

Background:

• Buurtzorg, a Dutch organization, pioneered self-managing nursing teams for high-quality, person-centered home care.
• This model aims to reduce costs through continuity of care and community networks.
• Traditional home care services are increasingly adopting Buurtzorg principles.

Purpose of the Study:

• To review experiences implementing Buurtzorg-derived models outside the Netherlands.
• To outline the potential effects of these international implementations.

Main Methods:

• A scoping review was conducted using electronic databases, hand-searching, and gray literature.
• Included were diverse publication types detailing Buurtzorg model implementation or outcomes internationally.
• Qualitative content analysis was employed, with data coded iteratively by two authors.

Main Results:

• Twenty-five publications reported on Buurtzorg-derived models internationally.
• Implementations showed a shift towards person-centered care, improved communication, and new service networks.
• Key challenges included self-managed work culture, organizational frameworks, and national healthcare policies.

Conclusions:

• Implementing Buurtzorg-derived models is complex and requires multi-level adaptations.
• Upskilling team competencies, addressing organizational leadership and IT, and policy changes are crucial.
• Individualized approaches and thorough preparation are essential for successful implementation.