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Healthcare 10,000+ Employees

Buurtzorg

Self-organized nursing teams revolutionizing home care in the Netherlands, embodying radical decentralization, team autonomy, and democratic principles.

40% cost reduction vs. traditional providers
Buurtzorg

Organization Overview

Buurtzorg (Dutch for 'neighborhood care') is a revolutionary home care organization founded in 2006 by Jos de Blok. The company has become a global model for self-organization, with over 10,000 nurses organized into small, autonomous teams of 10-12 professionals serving local neighborhoods.

Decentralization Principles

How this organization implements self-organization

1

Small autonomous teams of 10-12 nurses

2

No management layer - teams manage themselves completely

3

Direct patient relationships without bureaucratic overhead

4

Minimal back-office (50 people supporting 10,000+ nurses)

Organizational Specialties

What makes this organization unique

  • Teams hire their own colleagues and manage schedules
  • Holistic patient care replacing task-based nursing
  • IT platform (BuurtzorgWeb) for peer support and coordination
  • Highest patient and employee satisfaction in Dutch healthcare

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