Resultados em saúde no modelo Buurtzorg: uma revisão de escopo

Abstract

Introduction: The Buurtzorg model, developed in the Netherlands, is characterized by selfmanaged nursing teams focused on patient autonomy, continuity of care and holistic assistance. Its international expansion has sparked interest due to its potential to reorganize home care practices and strengthen nursing leadership. Objective: To describe health outcomes associated with the Buurtzorg model according to available scientific evidence. Methods: This scoping review followed the Joanna Briggs Institute (JBI) methodology and the PRISMA-ScR guidelines. Searches were conducted in PubMed, LILACS, Cochrane, BVS, CINAHL, Web of Science, Embase, Scopus and Google Scholar. After screening titles, abstracts and full texts, nine studies met the inclusion criteria. Data were extracted into a structured matrix and synthesized descriptively. Results: A total of 279 records were identified; 169 underwent screening, 17 were assessed in full and nine were included. Most studies were published between 2013 and 2024, predominantly in European countries. Findings show that the Buurtzorg model enhances continuity of care, increases patient and caregiver satisfaction, promotes autonomy and self-management and yields positive impacts on nursing practice, particularly greater clinical and organizational autonomy. Potential improvements in service efficiency were also noted, although quantitative evidence remains limited. Conclusion: The evidence suggests that the Buurtzorg model is an innovative approach to organizing home care, capable of improving patient experience and reinforcing the central role of nursing. Nonetheless, the predominance of qualitative evidence and implementation challenges across different health systems highlight the need for further research assessing clinical outcomes, economic impact and model feasibility in diverse contexts.