Spatial Inequality in Mortality in France over the Past Two Centuries

This article analyzes the evolution of spatial inequalities in mortality across 90 French territorial units since 1806. Using a new database, we identify a period from 1881 to 1980 when inequalities rapidly shrank while life expectancy rose. This century of convergence across territories was mainly due to the fall in infant mortality. Since 1980, spatial inequalities have levelled out or occasionally widened, due mainly to differences in life expectancy among the elderly. The geography of mortality also changed radically during the century of convergence. Whereas in the 19th century high mortality occurred mainly in larger cities and along a line from North-west to South-east France, it is now concentrated in the North, and Paris and Lyon currently enjoy an urban advantage.     

Large scale communication networks—Design and analysis

The paper discusses the problem of design and analysis of large scale communication systems. An iterative process, composed of a minimum cost network design algorithm and a network performance algorithm, is presented for the solution of these problems. Computational considerations, using these algorithms, are discussed.     

Does Part-Time Mothering Help Get a Job? The Role of Shared Custody in Women’s Employment

Though child shared physical custody arrangements after divorce are much more frequent and parents who use it more diverse in many European countries, little is known about their economic consequences for parents. By relaxing family time constraints, does shared custody help divorced mothers return to or stay on work more easily? Since lone mothers are one of the least-employed groups, and they face high unemployment rates, the type of child custody arrangement adopted after divorce is of particular interest for their employability. This article analyses to what extent the type of child custody arrangement affects mothers’ labour market patterns after divorce.Using a large sample of divorcees from an exhaustive French administrative income tax database, and taking advantage of the huge territorial discrepancies observed in the proportion of shared custody, we correct for the possible endogeneity of shared custody. Results show that not repartnered mothers with shared custody arrangements are 24 percentage points more likely to work one year after divorce compared to those having sole custody, while no significant effect is found for repartnered mothers. Among lone mothers, we also highlight huge heterogeneous effects: larger positive effects are observed for previously inactive women, for those belonging to the lowest income quintiles before divorce, for those with a young child, and for those who have three or more children. Thus, shared physical custody arrangements may reduce work–family conflict by diminishing childcare expenses and enlarge the possibilities to find a suitable job because of more relaxed time constraints for lone mothers.     

Applications of Bayesian analysis to proof‐of‐concept trial planning and decision making

Decision making is a critical component of a new drug development process. Based on results from an early clinical trial such as a proof of concept trial, the sponsor can decide whether to continue, stop, or defer the development of the drug. To simplify and harmonize the decision‐making process, decision criteria have been proposed in the literature. One of them is to exam the location of a confidence bar relative to the target value and lower reference value of the treatment effect. In this research, we modify an existing approach by moving some of the “stop” decision to “consider” decision so that the chance of directly terminating the development of a potentially valuable drug can be reduced. As Bayesian analysis has certain flexibilities and can borrow historical information through an inferential prior, we apply the Bayesian analysis to the trial planning and decision making. Via a design prior, we can also calculate the probabilities of various decision outcomes in relationship with the sample size and the other parameters to help the study design. An example and a series of computations are used to illustrate the applications, assess the operating characteristics, and compare the performances of different approaches.     

Les effets pervers du partage de la sécurité. Polices publiques et privées dans une gare et un centre commercial

This article focuses on controlling delinquency in a train station and a shopping center in a big French city. The increasing implication of private organizations in implementing security policies in public areas has spawned a literature about the “dangers of privatization”. As this fieldwork shows, private security officers and NGOs assume duties (related, for example to public relations or social policy) left vacant by police officers. Owing to this sharing of security, the police concentrate on its purely bureaucratic assignments and this has a negative impact on its legitimacy. A historical approach helps us understand how relations between the police and other parties have soured.     

Assessing the effectiveness of strategic planning

This paper describes a method for assessing the effectiveness of strategic planning systems in terms of the results actually observed subsequent to planning activity. The paper explains in particular how, in making the assessment, one might cope with the fact of environmental change subsequent to the setting of planned goals. This ends oriented approach to measuring effectiveness is shown to be complementary to process oriented approaches and is illustrated by an example from the coal industry.     

Improving homeless persons' utilisation of primary care: lessons to be learned from an outreach programme in The Netherlands

Elissen AMJ, Van Raak AJA, Derckx EWCC, Vrijhoef HJM. Improving homeless persons' utilisation of primary care: lessons to be learned from an outreach programme in The Netherlands Faced with rising homelessness, countries around the world are in need of innovative approaches to caring for those without shelter, who, more often than not, suffer from severe health problems. We conducted a case study of an innovative Dutch Primary Care for the Homeless (PCH) programme to gain insight into clients' demographic characteristics, health problems and service use, and to develop an explanation for its success in increasing the latter. Our analyses are based on a combination of quantitative and qualitative data. The results of the study suggest that the success of the PCH programme can be explained by the providers' pragmatism and will to adapt their mode of care provision to the behavioural patterns and needs of their homeless clients.