séminaire fff26 septembre 2013

Dr Régis BoxeléSports Doctor

23 october 2014

Paris – France

Sports Medicine Régulation in France and Europe

2

Sports medicine regulation in France

Sports medicine regulation in some European Countries

1

Sport Ministry1

Sports Medicine Regulation in France based on:

French Olympic Committee2

1

Sports Medicine Regulation in France based on:

Sport Ministry

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