Self-care e capitale sociale nelle malattie croniche. L'impatto socio-istituzionale del family caregiving.

Self-care and social capital in chronic illnesses. Socio-institutional impact of the “family caregiving” Chronic illnesses have a significant impact on patients and on their families and involve a considerable use of health resources and contribute to an increase in total health spending. Self-care plays a key role in treatment of chronic illness. Patients who put in practice an adequate self-care improve the quality of life, reduce mortality and the risk of hospital admissions and access to emergency services. In this scenario the family caregiving plays a significant role as it helps to improve the socio-therapeutic conditions of the patient filling the distance that exists between the socio-sanitary system and the welfare state. The purpose of the research is to verify, through the analysis of a case study, the effectiveness of educational intervention implemented by the caregiver for the self-care of the chronic sufferer which related to social capital (Putnam; 2000 e Coleman; 1988) of the same it could becomes efficient in promoting the rehabilitation provided by the health protocol.