The first National Public Health Institute of Sports Medicine in Macedonia, 1965-2015

1. 1
PUBLIC HEALTH INSTITUTE OF SPORTS MEDICINE ANDPUBLIC HEALTH INSTITUTE OF SPORTS MEDICINE AND
NATIONAL NETWORK IN MACEDONIA, 1965-2007NATIONAL NETWORK IN MACEDONIA, 1965-2007
Geographical distribution of 12 regional public health institutions of sports medicine
E-mail: mfh.cindi@makedonija.com

2. 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 FOR SPORTS MEDICINE IN MACEDONIA

3. PUBLIC HEALTH INSTITUTE OF SPORTS MEDICINE
SKOPJE, MACEDONIA

4. 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.
SPORTS MEDICINE WORKS FOR BETTER PUBLIC HEALTH
AND HIGH SPORTS PERFORMANCES

5. Recreational Individuals
+ Preventive aspects…
Competitive Sportsmen
TARGET GROUP(s)
NEEDS
DEMAND (s)
MEDICAL
SCIENTIFIC
RESPONSE
HUMAN SOURCE(s) SERVICE(s)
QUALIFIED PERSONNEL
SPORT PHYSICIANS
EDUCATION
SPECIALISATION
SPESIFIC POPULATIONSPESIFIC POPULATION
INSTITUTIONALIZATION
STANDARDIZATIONPEDIATRICS
SCHOOLS MEDICINE
INTERNAL MEDICINE
GERIATRICS
OCCUPATIONAL MEDICINE
SPACE & FLIGHT MEDICINE, ETC.
PROFESSIONALISMPROFESSIONALISM
( Youngsters + adults )
Chronic diseases

6. 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

7. 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

8. 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
PUBLIC HEALTH INSTITUTE OF SPORTS MEDICINE, SKOPJE,
MACEDONIA
DEPARTMENTS AND UNITSDEPARTMENTS AND UNITS

9. 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