The Buurtzorg Model

From their website:

Self-managing clients

The onion model assembles the building blocks for independence based on universal human values:

- People want control over their own lives for as long as possible
- People strive to maintain or improve their own quality of life
- People seek social interaction
- People seek ‘warm’ relationships with others.

The professional attunes to the client and their context, taking into account the living environment, the people around the client, a partner or relative at home, and on into the client’s informal network; their friends, family, neighbours and clubs as well as professionals already known to the client in their formal network.

In this way the professional seeks to build a solution involving the client and their formal and informal networks. Self-management, continuity, building trusting relationships, and building networks in the neighbourhood are all important and logical principles for the teams.

Buurtzorg web

Harvard report, 2022 ".....an aging population and an impending nursing shortage meant that Buurtzorg’s nurses would have to become even more efficient."
-- ??

Interview with Jos de Blok, 2021

Principles:

Buurtzorg defined its purpose as “to help people live more healthy and autonomous lives.”

-- humanity above bureaucracy
-- simplicity above complexity
-- the practical above the hypothetical.

The onion model:

Layers of the onion:
- the patient at the center
- an informal network of friends and family surrounding that patient
- the Buurtzorg team (nurses) serving that patient and his or her network
- as the outer layer—a formal network including doctors and specialists

Four principles for self-managed teams

- (1) solution-focused communication
- (2) solution-focused meetings
- (3) team decisions made in consensus
- (4) dividing and rotating roles and tasks.