Health Resorts as an integrated community healthcare model for fibromyalgia syndrome: a strategic SWOT analysis

Background: 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. Methods: 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. Results: 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. Conclusion: 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.