Reorganization of Istituti Fisioterapici Ospitalieri, an oncological and dermatological clinical and research center, to face the coronavirus health emergency: adopted measures and metrics of success to achieve and keep a COVID-19-free status.

BACKGROUND: A pronounced polarization of healthcare resources and workforce towards the prevention of the rapid spread of SARS-CoV-2 occurred at the expenses of the majority of chronic diseases and cancer, thus jeopardizing continuity of care and therapy outcomes. In this challenging and overwhelming scenario, our Institute confirmed its mission to provide expert cancer care. Here, we provide a report of strategic decisions made and of articulated measures developed to limit virus spreading while striving to make our hospital closer to patients. CONCLUSIONS: We hope our experience may serve as a resource to inform clinical care models in case of future epidemiological outbreaks.

The dynamics of social capital and health.

In the wake of Robert Putnam's arrival in Italy to study regionalization, this review of the literature on social capital aimed to establish whether current knowledge, social or socio-anthropological research have yielded new findings on how social capital is built and maintained or developed in a community and to what extent this influences social well-being. This is particularly important for those working in the health sector to make sure that health-related decision-making and behaviour foster rather than destroy the development of social capital. Our literature search was based on specific articles published in scientific journals in the humanist, managerial and medical fields, book titles or subtitles containing references to "social capital or social cooperation or reciprocity". Our findings led us to the conclusion that a complex series of coordinated actions are required for social capital to develop and that, once developed, social capital has a positive impact on social relations, economic results and social stability. In addition, we understood why it is useful to retain three stages, conditioning, development and capitalization, in modelling the development of social capital. Conditioning requires transparency, pragmatism and long-term vision. Development and capitalization require the predominant variables to be chosen. The development of social capital is part of a good strategy for health promotion and prevention.