Buurtzorg is a Dutch home-care organization that utilizes self-managed nurses to provide holistic social and medical support to elderly people [1, 2].
This model shifts the delivery of healthcare away from centralized administration and toward localized, nurse-led teams. By reducing the bureaucratic layers typically found in medical systems, the organization aims to improve patient outcomes and professional autonomy.
Operating in the Netherlands, Buurtzorg focuses on enabling older adults to live more independently within their own homes [1, 2]. The approach integrates medical care with social support, addressing the broader needs of the patient rather than treating isolated symptoms.
Under this structure, nurses manage their own schedules and patient loads without traditional middle management. This autonomy allows the staff to tailor care to the specific needs of the community they serve, a departure from the rigid quotas often found in corporate healthcare.
The organization seeks to minimize the administrative burden on healthcare providers [1, 2]. By removing these barriers, the nurses can spend more time with patients and less time on paperwork.
This proximity-based care model emphasizes the importance of the neighborhood in the healing process. By fostering strong ties between the caregiver and the patient's immediate environment, Buurtzorg attempts to create a sustainable support system for an aging population [1, 2].
“Buurtzorg is a Dutch home-care organization that utilizes self-managed nurses”
The Buurtzorg model represents a systemic shift toward decentralized healthcare. By replacing traditional management hierarchies with self-governing teams, the organization tests whether professional autonomy can increase efficiency and patient quality of life in aging societies facing rising care demands.



