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séminaire fff26 septembre 2013
Dr Régis BoxeléSports Doctor
23 october 2014
Paris – France
Sports Medicine Régulation in France and Europe
Scientific Societies 3
1
French Olympic Committee2
Sports Medicine Regulation in France based on:
Sport Ministry
Sports Doctors Syndicate4
1
French Olympic Committee2
3
Sports Medicine Regulation in France based on:
Sport Ministry
Scientific Societies
Support and advise the sports federations on whitch it relies to organize sport in France
Financial support for programs promote health through sports federations
May force federation to conduct health equity
1
Sports Medicine Regulation in France based on:
Sport Ministry
Stru
ctur
e m
odel
1st ministre
Présidentof France
Régionalmanagement
SportsMinister
DepartementalManagement
Top levelmonitoring
atheltes
Healthsprograms
SportsFederations
1
Sports Medicine Regulation in France based on:
Sport Ministry
Gouvernement sector Operational sector
Obligation of a medical monitoring for top level athletes :Echocardiography : 1/lifeElectrocardiogram : 1/yearEpreuve d’effort : 1/ 4 yearBlood test : 1/year Dental checkup et Psycological test : 1 / year
Doping prevention
Exam
ple
of a
ctivi
ties
Prevention and management of physical inactivity and obesity
…
Ministry of sport1
Sports Medicine Regulation in France based on:
Represents the international Olympic Commitee on the French territory
It monitors the good health of athletes
Represents the athletes within public auhorities
French Olympic Commitee2
Sports Medicine Regulation in France based on:
Support athletes at the Olympic games
Stru
ctur
e m
odel
C.N.O.S.FI.O.C
Medical commitee
Top levelDepartement
«Sport-Health»Departement
- Medical logistics for Top level athletes- Performance research (climatology, women and sport, food supplements…)
- Sports health benefits promotion- Sports good practices development
French Olympic Commitee2
Sports Medicine Regulation in France based on:
Indépendent non-profit organizations having mission to research, to collect, to validate and disseminate informations At their request, they could advise the sports ministery and the Medical committee of National Olympic committee
3
Sports Medicine Regulation in France based on:
Scientific Societies
Sport and health
Exam
ple
of a
ctivi
ties
Women and sport
Children and sport
Sport medicine history
Sport and High Performance
Mental handicap and sport
3
Sports Medicine Regulation in France based on:
Scientific Societies
Its mission is to defend the interests of sports physicians
66 millions French*, 42 % play sport at least once/week **
Stati
stics 15 millions players registrated in 96 sports federations = 15
millions medical autorizations signed buy a doctor to be able to play sports.
220 000 doctors in France * 1 500 sports doctors
* INSEE ** Eurobarometer 334 « sport and Pysical Activity 2010 »
Sports Doctors Syndicate4
Sports Medicine Regulation in France based on:
The ministry of sports is responsible for prevention and doping research
The French Agency for the Doping control is interested by the controls and penalities
Regarding the Doping
Sports Medicine Regulation in France
Does the sport movement represented by a single organization ? * If yes, better efficiency health’s programs that may apply to all citizens
Compare the degree of authority intervention in sport Could the autorithy rely on the sports movement to promote health programs and organize easily the sports medicine sector in the country ?
* Countries where there is a single organization : Germany, Belgium, Denmark, France Italy, the Neteherland
The Régulation Sports Medicine in Europe / Comparative
Sports activities panorama
Two representatives of the sports mouvement
Sports strategy
72 % of population practice sports at least once/week * 130 sports federation
Suoemen Olympiakomite and S.L.U.
Promoting sport for all / Social inclusion Factor Sports promotion is a wellness health factor (The Finland moves / Good health for better life)
* Source : Eurobarometer 334 « sport and Pysical Activity 2010 »
The Régulation Sports Medicine in Europe / Finland
Olympic and paralympic committees, Association of Olympic sports, Federations
Increase sports practicePrevention and management of physical inactivity and obesity by sports practice
* Source : Eurobarometer 334 « sport and Pysical Activity 2010 »
The Régulation Sports Medicine in Europe / Spain
Sports strategy
Sports activities panorama39 % of population practice sports at least once/week * 64 sports federation
Four representatives of the sports mouvement
* Source : Eurobarometer 334 « sport and Pysical Activity 2010 »
British Olympic association, Sport and recreation alliance, National governing bodies
Performance and sporting excellence
The Régulation Sports Medicine in Europe / England
Sports strategy
Sports activities panorama46 % of population practice sports at least once/week * 55 sports federation
Three representatives of the sports mouvement
A B
S T
R A
C T
Olympic CommiteeSports Ministry Scientific societies Doctors syndicate Doping Agency
Represents the state
Represents the IOC Independent Independent Independent
Delegates sports Federations
Represents athletes within public authorities
Expert role Defends the interests of doctors
Contrôl
Check the work of sports federations
Safeguard the integrity of athletes health
Advise the ministry and CNOSF
Repression
Research, doping prevention
Supports the top level athletes and the « sports health »
Manages the laboratory analysis
Regional Network Regional Network No Regional Network
No Regional Network
No Regional Network
Sports Medicine Regulation in France