LAUSR

Medical support of compliance with standards of physical culture and sports complexes is carried out on basis of established regulatory documents. In SBAH RK ‘SCC №3’, patients aged 6–17 years who wish to take part inimplementation of standards are subject to examination. The provision of medical assistance in implementation of standards includes the organization of: primary medical and specialized medical care in order to issue admission to implementation of standards to individuals who wish to take part in implementation of standards and the provision of primary medical and ambulance services, including emergency specialized medical assistance in implementation of standards to all participants. Admission to implementation of the standards of students of educational institutions of preschool and general secondary education is carried out on basis of assigning the child to the main medical group for physical training by pediatricians of medical organizations. If a minor citizen who wants to be tested, has a disability or a preparatory medical group for physical training, he is sent to the doctor in sports medicine (specialty ‘medical and sports medicine’). The purpose of examining a doctor in sports medicine is to evaluate the response of the cardiovascular system to an increase in load and to determine the possible passing of testing in the relevant group. Conclusion with the decision on admission in this case is made by a doctor in sports medicine. In the clinic in the 2016–2018 years. 807 children applied for examination, of which 787 were allowed to pass sports standards (97.52±0.30%), corresponding to the years 2016 -23 (95.83±4.08%), 2017 – 491 (96.84±0.78%), 2018 – 273 (98.91±0.62%). In the structure of admitted children 13–15 years old (31.00%) and 11–12 years old (25.41%) prevailed over other age groups 9–10 years old (19.95%), 16–17 years old (12.58%) and 6–8 years (11.06%). If in 2016 only 24 people applied for certification, then in the next 2017 their number increased to 507, that is, 21.13 times. In this case, all patients were divided into three medical groups: the main - 443, preparatory - 52 (of which 4 children were not admitted) and special -12. Of the 807 children and adolescents examined over 3 years, the main medical group for physical training was established 87.73±1.15% of those examined, preparatory - 10.78±1.09%, of which 9.79±1.05% were admitted to surrender, and the special medical group determined 1.49±0.43% of children and adolescents (all p<0.001).