{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T05:10:49Z","timestamp":1778735449497,"version":"3.51.4"},"reference-count":51,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fibromyalgia syndrome (FMS) is a prevalent and disabling chronic pain condition associated with substantial socioeconomic burden and frequent dissatisfaction with conventional care. This supports the need for innovative community-based models. Health Resort facilities deliver multi-component, multidisciplinary programs (e.g., balneotherapy\/aquatic exercise, structured exercise, education, and supportive environments) and may represent a promising setting for FMS management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study aims to systematically evaluate the strategic potential of Health Resorts as an integrated community healthcare model for FMS using a SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis. Factors were identified and synthesized through a targeted narrative search of PubMed and a structured analysis of relevant national and international policy\/guidance documents. A strategic analysis was also performed to formulate actionable recommendations by combining internal and external factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Strengths included the ability to operationalize integrated biopsychosocial, patient-centered care within an immersive environment, and a potentially decentralized access model. Weaknesses included limited validation of standardized integrated protocols, heterogeneity across facilities, and suboptimal integration with public healthcare systems. Evidence for cost-effectiveness remains hypothesized pending dedicated economic evaluations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Health Resorts offer a promising paradigm for FMS management, shifting from fragmented treatment to an integrated, community-based approach. However, realizing this potential requires addressing critical weaknesses, particularly the need for a stronger evidence base, standardization of protocols, and improved integration with national health services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1736755","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T04:27:38Z","timestamp":1778732858000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Health Resorts as an integrated community healthcare model for fibromyalgia syndrome: a strategic SWOT analysis"],"prefix":"10.3389","volume":"13","author":[{"given":"Gianluca","family":"Regazzo","sequence":"first","affiliation":[{"name":"Rehabilitation Unit, Department of Neuroscience, University of Padua","place":["Padua, Italy"]},{"name":"Department of Neuroscience, Physical Medicine and Rehabilitation School, University of Padua","place":["Padua, Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Piccione","sequence":"additional","affiliation":[{"name":"Neurorehabilitation Unit, Section of Brain Injury Rehabilitation, Hospital-University of Padua","place":["Padua, Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aristide Roberto","family":"Gravina","sequence":"additional","affiliation":[{"name":"Rehabilitation Division, Piove di Sacco Hospital","place":["Padua, Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Masiero","sequence":"additional","affiliation":[{"name":"Rehabilitation Unit, Department of Neuroscience, University of Padua","place":["Padua, Italy"]},{"name":"Department of Neuroscience, Physical Medicine and Rehabilitation School, University of Padua","place":["Padua, 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