In 2006, Jos de Blok was growing increasingly frustrated. After two decades as a nurse and healthcare manager in the Netherlands, he had watched as the system became more bureaucratic, less personal and ultimately less effective. Years of so-called reform had undermined nurses’ relationships with their patients. The very reason that had brought them into the profession in the first place was compromised, making the work they did less effective. Paperwork multiplied whilst patient care suffered. Nurses were spending more time filling out forms than attending to patients.
De Blok and three of his colleagues decided that there had to be a better way to care for patients. So, they took a radical step and founded Buurtzorg (Dutch for “Neighbourhood Care”) with a revolutionary model that challenged every assumption about healthcare delivery: small teams of 10-12 nurses would operate with complete autonomy. No managers. No complex hierarchy. Just skilled professionals empowered to make their own decisions about patient care.
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