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Buurtzorg Nederland is a Dutch home-care organization which has attracted international attention for its innovative use of independent nurse teams in delivering high-quality, relatively low-cost care. Buurtzorg is Dutch for “neighborhood care”. It was founded in 2006 in the small city of Almelo by Jos de Blok and a small team of professional nurses who were dissatisfied with the delivery of health care by traditional home care organizations in the Netherlands. According to Sharda S. Nandram, the company has created a new management approach: “integrating simplification,” characterized by a simple, flat organizational structure through which a wide range of services, facilitated by information technology, can be provided. When they go into a patient’s home, Buurtzorg’s nurses provide not only medical services but also many support services, such as dressing and bathing, that are usually delegated to lesser-trained and cheaper personnel. Self-governing teams of 10 to 12 highly trained nurses take responsibility for the home care of 50 to 60 patients in a given neighbourhood. This permits flexibility in work arrangements to meet both nurses’ and patients’ needs. The organization has the most satisfied workforce of any Dutch company with more than 1,000 employees. A study by KPMG published in January 2015 shows that the company is a low-cost provider of home-care services, and that this is not attributable to its patient mix. When the patients’ nursing home, physician, and hospital costs were added to the analysis, total per-patient costs were about average for the Netherlands. The company employed 8,000 nurses in 2014, with teams in the Netherlands, Sweden, Japan and the United States (in Minnesota), where Buurtzorg USA is a legally constituted nonprofit organization with a Minnesota Comprehensive Home Care License. It now provides home care to about 80,000 people; more than half of all district nurses in the Netherlands work for the organization. In the USA the organization faces the need to deal with multiple payers, each with its own payment rules and procedures which makes it difficult for nurses to do their own billing as they do in Holland. The company is concerned about a cutback in the Dutch home nursing budget of 400 million euros, 10% less than last year's community care budget. The company is getting more applications from people who are entitled to home care. It expects a growth of 15,000 clients. ==References== 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Buurtzorg Nederland」の詳細全文を読む スポンサード リンク
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