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Index

Presentation 1

Contributions 3

Foreword by Angelo Consoli – The Health Communities 7

1. The wellness and health management in the ideological framework of Jeremy Rifkin 13

2. Historical evolution of healthcare assistance 27

2.1 From Hippocrates to the discovery of antibiotics 27

2.2. The healthcare systems: public (welfare state and Beveridge) and private (Bismark) 33

2.3 The metaphor of the pendulum 47

2.4 Donald Trump and “deregulation” even in health 51

2.5 A new model on the horizon: the Commons of health 53

3. The medicine initiative in the territory: prevention and chronicity 57

4. The acute ill and first aid 61

5. Prevention 67

5.1 Introduction 67

5.2 The determinants of health 71

5.3 The determinants of social and economic integration and social welfare 75

5.4 Lifestyles 79

5.5 Physical activity 81

5.6 The prevention of chronic degenerative diseases through nutrition 87

5.7 Cardiovascular and oncological risks 105

5.8 Psychiatric Risk 109

5.9 Genetic Risk 111

5.10 Dentistry risk and zero cavity 117

6. The paradigm of communication and doctor Google 123

7. New communication frontiers in health 129

7.1 Fitness bracelets and wearable devices 129

7.2 Telemedicine 135

8. Health care orientated by the patient 137

9. The democratization of health 145

10. The new community care in Italian public 151

11. Digital technology in surgery 171

12. The new paradigm in health care: the health Commons and crowdfunding 175

13. Goals and indicators of Zero Disease 181

14. From Rifkin’s 3 paradigms to Zero Disease 3 paradigms 187