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Abstract
Strong collaboration among primary care physician, pharmacist, and a community nurse can provide close monitoring of the conditions of frail older adults in their home environment. Reforms in long-term care in the Netherlands provide incentives to improve this collaboration. The reforms are in line with the innovation in the home-care market. Buurtzorg uses small, self-managed, highly qualified teams for home care since 2006. With neighborhood-focused teams and a limited number of nurses who care for a patient, communication with other caregivers is easier. Moreover, the way to transform an organization to work with self-managed teams is discussed.
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