Intelligent Organisation Profile: Buurtzorg
- Ade McCormack
- Mar 19
- 2 min read

Introduction
Buurtzorg is a Dutch home healthcare organisation that has gained international recognition for its innovative, patient-centric model. Founded in 2006 by Jos de Blok, Buurtzorg has revolutionised the healthcare sector by replacing traditional hierarchical structures with small, self-managing teams of nurses.
This approach has led to improved patient outcomes, increased employee satisfaction, and reduced administrative overhead. The organisation's success has inspired similar models worldwide, demonstrating the power of decentralised, adaptive structures in healthcare.
Intelligent Approach
Buurtzorg’s intelligence stems from its decentralised and patient-focused model, which is built around the following key principles:
Self-managing teams: Instead of relying on a hierarchical management structure, Buurtzorg operates through small, autonomous teams of nurses who handle patient care, scheduling, and decision-making, fostering accountability and adaptability.
Minimal bureaucracy: Administrative overhead is drastically reduced, allowing nurses to spend more time on patient care and less on paperwork.
Technology as an enabler: A streamlined IT system supports communication, scheduling, and data management without micromanaging employees, enhancing efficiency.
Patient-centric care: Nurses have the freedom to build strong relationships with patients and tailor care to individual needs, leading to improved health outcomes.
Adaptive and learning-oriented: Teams continuously refine their approach based on patient feedback and emerging healthcare needs, fostering a culture of innovation and improvement.
Benefits of This Approach
Buurtzorg’s intelligent organisational design has delivered numerous benefits, including:
Higher quality of care: Patients receive more personalised and holistic treatment, leading to better health outcomes and increased satisfaction.
Improved employee engagement: Nurses have greater autonomy and job satisfaction, resulting in lower burnout and turnover rates.
Cost efficiency: By reducing bureaucracy and administrative costs, Buurtzorg has demonstrated that high-quality care can be delivered at a lower cost.
Scalability and influence: The model has been successfully adapted in multiple countries, proving its effectiveness across different healthcare systems.
Resilience and adaptiveness: The decentralised structure enables teams to respond swiftly to changing conditions, making the organisation more resilient in times of crisis.
Buurtzorg exemplifies how an intelligent organisation can leverage decentralisation, trust, and technology to create a more effective and humane approach to healthcare. Its success provides valuable insights for organisations in other industries looking to embrace intelligent, adaptive ways of working.
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