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PUBLIC HEALTH INSTITUTE OF SPORTS MEDICINE AND

NATIONAL NETWORK IN MACEDONIA, 1965-2007

Geographical distribution of 12 regional public health institutions of sports medicine

E-mail: mfh.cindi@makedonija.com 1
PUBLIC HEALTH INSTITUTE FOR SPORTS MEDICINE IN MACEDONIA

Public Health Institute for Sports Medicine was established in 1965 under
Ministry of Health in Macedonia. In 1970, the Institute and many health centres
were integrating into a comprehensive institutions of Skopje in compliance with
the recommendation of the WHO.

The Institute has major public health functions based on law, surveillance task,
and also coordinates national network of 12 sports medicine, preventive centres
on PHC level in Macedonia.

Contributing to the health of the people, and in prevention of chronic disease,


the Institute warks in close cooperation with National public health organization
for health promotion through physical activity - HEPA Macedonia.

This Institute carries out preventive, sport-medical examination of the pre-


school children, young people and active sportsmen, as well as those who take
interest in sport and recreation, of different sex and age. Also, the Institute
maintains register and compjuter database of 16.000 physically active people of
total registered 60.000 in Macedonia.
PUBLIC HEALTH INSTITUTE OF SPORTS MEDICINE
SKOPJE, MACEDONIA
SPORTS MEDICINE WORKS FOR BETTER PUBLIC HEALTH
AND HIGH SPORTS PERFORMANCES

Sports medicine is an interdisciplinary and multidisciplinary medical


specialization or subspecialization in 34 countries in EU which deals with the
prevention, diagnosis, treatment and rehabilitation of illnesses or injuries resulting
from recreational or professional participation to physical activities, exercises and
sport.

Also, sports medicine works for public health and medical care of all people
who are physically active and exercise. To improve the general well-being, health
and to prevent chronic disease of the population through promotion of an active
lifestyle are main aspects of sports medicine future research and practice in
Macedonia.

In fact, sports medicine is a preventive as well as a clinical branch of


medicine working for a specific physically active, exercising and sporting
population to improve public health as well as sports performance.
Recreational Individuals
Competitive Sportsmen
+ Preventive aspects… ( Youngsters + adults )

Chronic diseases
TARGET GROUP(s) SCIENTIFIC
DEMAND (s)
NEEDS RESPONSE
MEDICAL

HUMAN SOURCE(s) SERVICE(s)

QUALIFIED PERSONNEL
SPORT PHYSICIANS
EDUCATION

SPESIFIC POPULATION SPECIALISATION

INSTITUTIONALIZATION
PEDIATRICS STANDARDIZATION
SCHOOLS MEDICINE
INTERNAL MEDICINE
PROFESSIONALISM
GERIATRICS
OCCUPATIONAL MEDICINE
SPACE & FLIGHT MEDICINE, ETC.
CURRENT RESEARCH AND PRACTICE OF SPORTS MEDICINE IN MACEDONIA

Public Health Institute for Sports Medicine influences the lives and improves
the health of every physically active Macedonian citizen. The functions are:
- Systematic, preventive medical examinations of the people physialy active in
sport and recreation, evaluation of their health status, physical development,
functional capacity of cardio-respiratory system and biochemical analysis
- Sportsmen control during the training process
- Control of physical activity influence on the young people in their development
- Sports nutrition, dietho prevention and dieto therapy
- Prevention of sportsmen injuries, measures for risk reduction of sport injuries
and providing treatmnet and rehabilitation
- Treatment of diseases with active movements (kinesi therapy)
- Psychological investigation with psycho therapy
- Work on the sport medicine doctrine, continuing doctoral education in
health promotion and disease prevention through lifestyle changes, and also
specialization of sports medicine at the Faculty of Medicine
-Cathedre for human development and sport medicine at Faculty for Physical
Culture, scientific research work.
- Working in the sport organizations, clubs and differenet assotiations for sport
pedagogues, coaches, MOC, FIMS, WHO, ECSS, on national and internat. levels
Surveillance System
A HEALTH INVENTORY: PROBLEM-ORIENTED MEDICAL RECORDS
for more precision estimated the health status and physical fitness of
16.000 people active in sport and recreation
PUBLIC HEALTH INSTITUTE OF SPORTS MEDICINE, SKOPJE,
MACEDONIA

DEPARTMENTS AND UNITS

I. DEPARTMENT OF MONITORING AND SURVEILLANCE OF THE HEALTH


STATUS AND HEALTH DETERMINANTS OF POPULATION GROUPS:
CHILD, ADOLESCENT, ADULT AND OLDER PEOPLE

UNITS FOR EVALUATION AND ANALYSIS OF


– Health and Physical Development
– Health and Functional Capacity
– Population-based Health Research
– Major Health Determinants and Cardiovascular, Pulmonary and
– other Chronic Diseases
II. DEPARTMENT OF HEALTH PROMOTION AND
CHRONIC DISEASES PREVENTION

– Health Promotion Unit


– Injury Prevention Unit
– Chronic Diseases Prevention Unit
– Nutrition Unit

III. DEPARTMENT OF INJURIES AND CHRONIC DIESEASE


DIAGNOSTIC AND TREATMENT

– Injures Treatment and Medical Rehabilitation Unit


– Nutrition Treatment Unit
– Unit for Chronic Disease Diagnostic and Treatment:
Cardiovascular and Respiratory Diseases.

IV. DEPARTMENT OF ANALYTICAL BIOCHEMISTRY

V. DEPARTMENT OF ADMINISTRATION

– Technical Unit
– Information Technology and Analytics Unit
– Archives and Records Administration