Opportunities and challenges for home care services in implementing the Buurtzorg model in Switzerland: results of an exploratory case study

Hegedüs, Anna; Schürch, Anita; Zentgraf, Amelie; Abegg, Alwin; Bischofberger, Iren (2022). Opportunities and challenges for home care services in implementing the Buurtzorg model in Switzerland: results of an exploratory case study International Journal of Health Professions, 9(1), pp. 104-115. De Gruyter Open 10.2478/ijhp-2022-0011

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Background: The strong growth in services combined with the shortage of skilled workers in home care calls for change. The Dutch Buurtzorg model promises a reorganization of home care, which has a positive effect on employee satisfaction and person-centeredness. Aim: To gain information on how the different groups of employees deal with the changes triggered by the restructuring towards the Buurtzorg model. Method: The reorganization process in three home care services in German-speaking Switzerland was investigated using a multimethod approach (expert interviews with managers and coaches, focus group discussions, problem-centered interviews with employees, participating observations at team meetings). Data collection was carried out at two time points, nine months apart. Data was analyzed using structural content analysis. Results: It was necessary to adapt roles and tasks at the individual, team and organizational levels. This was accompanied by a division of labor that was as far as possible detached from professional qualifications. Consequently, new forms of cooperation evolved and opened up opportunities, but also areas of tension. These processes were supported by the new role of the coaches. Conclusions: Achieving this change in a short period of time is a major effort that needs sufficient and suitable opportunities for reflection and exchange to explore and absorb the areas of conflict. In addition, a broadly anchored corporate learning culture needs to be established so that all employees can grow into the new way of agile working.

Item Type:

Journal Article (Original Article)


School of Health Professions
School of Health Professions > Institute for Participatory Health Care


Hegedüs, Anna0000-0002-9802-876X;
Schürch, Anita;
Zentgraf, Amelie;
Abegg, Alwin and
Bischofberger, Iren


R Medicine > RT Nursing




De Gruyter Open




Anita Schürch

Date Deposited:

27 Oct 2022 16:39

Last Modified:

27 Oct 2022 16:39

Publisher DOI:


Uncontrolled Keywords:

Buurtzorg – ambulante Pflege und Betreuung – Selbstorganisation – Implementierung





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