Bütünsel Bakım Yaklaşımı: Buurtzorg Modelinin Türk Sağlık Sistemi’ne Uyarlanabilirliği

Öz

Hollanda kökenli Buurtzorg modeli, kendi kendini yöneten hemşire ekipleri, profesyonel özerklik, bütünsel birey odaklı entegrasyon ve topluluk ağı gömülmesiyle evde bakımda dönüştürücü bir yaklaşım sunmaktadır. Bu kavramsal derleme, modelin temel ilkelerini ve ampirik sonuçlarını—düşük bakım saati kullanımı, azalan hastane yatışları, yüksek memnuniyet ve maliyet verimliliği—incelerken, Türkiye’nin hızlı yaşlanan nüfusu, çekirdek aileleşmesi ve parçalanmış evde sağlık hizmetleri bağlamında uyarlanabilirliğini değerlendirir. Bürokrasi teorisi, bütünleşik bakım çerçeveleri ve topluluk sağlığı perspektiflerinden yararlanarak, yerel uyarlamalar önerir: birinci basamak bakımına entegre otonom mahalle ekipleri, primer hemşire sürekliliği, kasıtlı toplumsal ağ aktivasyonu ve dijital bürokrasi azaltımı. Türkiye’nin yasal ve kültürel gerçeklerine saygılı pilot uygulamalar, eşitlik, verimlilik ve yerinde onurlu yaşlanmayı güçlendirebilir ve ülkeyi kendi dirençli topluluk bakım modelini geliştirmeye yönlendirebilir.

Anahtar Kelimeler

• Buurtzorg modeli
• evde bakım
• hemşirelik

A Holistic Care Approach: The Adaptability of the Buurtzorg Model to the Turkish Health Care System

Öz

The Buurtzorg model, originating in the Netherlands, represents a transformative approach to home care through self-managing nursing teams, professional autonomy, holistic person-centered integration, and community network embedding. This conceptual review examines its core principles and empirical outcomes reduced care hours, fewer hospital admissions, higher satisfaction, and cost efficiencies while assessing transferability to Turkey amid rapid population ageing, nuclear family shifts, and fragmented home health services. Drawing on bureaucratic theory, integrated care frameworks, and community health perspectives, the paper proposes localised adaptations: autonomous neighbourhood teams anchored in primary care, primary-nurse continuity, intentional social-network activation, and digital bureaucracy reduction. Pilots respecting Turkey’s regulatory and cultural context could enhance equity, efficiency, and dignified ageing in place, positioning the country to evolve its own resilient community-care model.

Anahtar Kelimeler

• Buurtzorg model
• Home care
• Nursing

Kaynakça

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