Policy In France Research Articles

GIS and statistics to analyze scale change consequences on medical desert classification in France

Abstract Background Accessibility is a crucial way to overcome geographical restrictions and provides a path for alleviating the medical desert. Less attention has been paid to the choice of spatial unit in the effect of healthcare multi-accessibility. Inside the OASES European program, the France team proposes to create medical desert classification at the municipality level. The contribution of this study is to highlight the consequences of the choice of spatial scale on spatial distribution and the discrepancies between medical desert classifications. Methods Analyses were carried out in metropolitan France and overseas departments, at the commune scale and two other supra-communal scales used by public policies in France. For each spatial unit, a multidimensional and professional classification has been conducted using a three-step method: scores, principal component analysis and clustering. To demonstrate the presence of spatial dependence and to measure homogeneity between classifications joint count autocorrelation indicators and Theil’s indexes were applied. Results Our results present 7 classes of municipalities, and 5 classes of EPCI or living territories according to their level of healthcare accessibility, the dynamic of supply, and the needs of the population. Spatial representation of the classification demonstrates greater variability at the municipality level than other supra scales. Informative contrasted classes at the municipality level disappeared in favor of the middle class in all accessibility at supra scales. The results demonstrate that spatial dependence between areas at the municipality level reduced the scale effect. Conclusions Spatial approaches have become increasingly popular since they enable decision-makers to identify priority areas and allocate resources. Recognizing the instability across various scales is therefore crucial for thinking about the optimal unit of data aggregation when investigating the medical desert. Key messages • Choice of the scale is a mix between public policy decisions and data availability. • Contiguity constraint is a way to reduce the loss of information after aggregation.

France, Economic Liberalism, and the Populist Challenge

Abstract This article reviews Contested Liberalization by Jonah Levy. Levy explores the role of politics in slowing the implementation of neoliberal economic policies in France, from the 1980s forward. Levy devotes special attention to the politics and policies of Emmanual Macron. The article examines Levy's argument in the context of the French “dirigiste” tradition and considers Macron's policies and the recent rise of populism in France. It argues that populism has arisen in many advanced countries as they have shifted from industrial to service economies. The rise in working class grievance in the face of low productivity and wage stagnation has proved fertile ground for populist parties.

Implementation of a Novel Epidemiological Surveillance System for Children's Mental Health and Well-Being in France: Protocol for the National "Enabee" Cross-Sectional Study.

Children's mental health, including their well-being, is a major public health concern, as the burden of related disorders may last throughout one's life. Although epidemiological mental health surveillance systems for children and adolescents have been implemented in several countries, they are sorely lacking in France. This study aims to describe the first step of the implementation of a novel surveillance system in France called Enabee (Etude nationale sur le bien-être des enfants), which focuses on the issue of mental health in children. The system aims to (1) describe the temporal trends in the population-based prevalence of the main mental health disorders and well-being in children aged 3 to 11 years, (2) explore their major determinants, and (3) assess mental health care use by this population. To do this, Enabee will rely on results from a recurrent national cross-sectional homonymous study. This paper presents the protocol for the first edition of this study (called Enabee 2022), as well as initial results regarding participation. Enabee 2022 is a national cross-sectional study that was implemented in French schools in 2022. It used a probabilistic, multistage, stratified, and balanced sampling plan as follows: first, schools were randomly drawn and stratified according to the type of school. Up to 4 classes per school were then randomly drawn, and finally, all the pupils within each class were selected. The study covered children from preschool and kindergarten (aged 3 to 6 years, US grading system) to fifth grade (aged 6 to 11 years). Children from first to fifth grades provided a self-assessment of their mental health using 2 validated self-administered questionnaires: the Dominic Interactive (DI) and the KINDL. Parents and teachers completed a web-based questionnaire, including the Strengths and Difficulties Questionnaire. Parents also answered additional questions about their parenting attitudes; their own mental health; known social, economic, and environmental determinants of mental health in children; and their child's life habits. Health, education, and family stakeholders were involved in designing and implementing the study as part of a large consultation group. Data were collected from May 2, 2022, to July 31, 2022, in 399 schools across metropolitan France. Teachers completed questionnaires for 5721 pupils in preschool and kindergarten and for 15,263 pupils from first to fifth grades. Parents completed questionnaires for 3785 children in preschool and kindergarten and for 9227 children from first to fifth grades. Finally, 15,206 children from first to fifth grades completed the self-administered questionnaire. Enabee 2022 constitutes the first milestone in the development of a novel national epidemiological surveillance system, paving the way for improved children's mental health policies in France.

Shared challenges, divergent practices. The impact of institutional frameworks on area-based initiatives in Barcelona and Paris

ABSTRACT In recent decades, the persisting inequalities in European cities have spurred the implementation of area-based initiatives (ABI) in the most disadvantaged neighbourhoods. This paper investigates how the interplay between diverse institutional frameworks and housing ownership regimes influences the design and execution of ABI policies in France and Spain. Focusing on the specific cases of Pla de Barris in Barcelona and Contrat de Ville in Paris, the study elucidates the strengths and limitations of different urban renewal strategies, emphasizing the imperative of a multi-level governance approach for effective ABIs.

The state against the environment? Water management and the regulation of tensions between sectoral policies in France

AbstractThe effectiveness and efficiency of environmental policy largely depends on how other policies take account of ecological objectives, whether in the industrial, agricultural, urban planning, transport, housing or budget sectors. The state bears responsibility for how these public policies interrelate, including establishing a hierarchy of priority or allowing one area to ignore another. What can we learn about environmental policy from an analysis of the tensions between multiple sectoral policies, and more generally about the state and the political and institutional functioning that shapes the management of an environmental issue? Taking water management in France as a case study, this article argues that an approach focused on the regulation of tensions between various public policies can shed new light on the structural difficulties of environmental policy. It shows how ideas, norms, interests, strategies, professional cultures, and so forth, that underpin public policy outside the environmental field shape the handling of ecological issues. It also highlights the way the state views and handles these tensions between policies through institutional arrangements and socio‐political compromises with influential sectoral actors and social groups.

The implementation of the new Common Agricultural Policy in France will not be environmentally ambitious

This paper assesses the environmental ambition of 2023-2027 Common Agricultural Policy in France. Since conditionality and agri-environment-climate measures are only marginally improved relative to the previous period, attention is focused on the new environmental instrument of the eco-scheme that in France targets the whole farm. Results suggest low environmental progress since almost all French farms would reach the standard level of the eco-scheme by one of the three access paths with unchanged farming practices, and 85% of them would reach the superior level. The percentage of farms at the superior level would be lower for farms specialized in annual crops than for cattle farms. We then show that the payment difference of €20 per hectare between the standard and superior level is probably insufficient for farms specialized in cereals, oilseeds and protein crops to offset the additional cost of the change in farm practices required to move from the standard to the superior level.

The chained difference-in-differences

This paper studies the identification, estimation, and inference of long-term (binary) treatment effect parameters when balanced panel data is not available, or consists of only a subset of the available data. We develop a new estimator: the chained difference-in-differences, which leverages the overlapping structure of many unbalanced panel data sets. This approach consists in aggregating a collection of short-term treatment effects estimated on multiple incomplete panels. Our estimator accommodates (1) multiple time periods, (2) variation in treatment timing, (3) treatment effect heterogeneity, (4) general missing data patterns, and (5) sample selection on observables. We establish the asymptotic properties of the proposed estimator and discuss identification and efficiency gains in comparison to existing methods. Finally, we illustrate its relevance through (i) numerical simulations, and (ii) an application about the effects of an innovation policy in France.

Donor/recipient Rh-mismatched allogeneic hematopoietic stem cell transplantation: transfusion strategy and allo-immunization to red blood cell antigens.

In the case of donor/recipient rhesus (Rh)-incompatibility after allogeneic hematopoietic stem cell transplantation (alloHSCT), the transfusion policy in France is to transfuse red blood cells (RBC) in the donor's Rh phenotype from the day of transplantation, leading to a risk of allo-immunization, either of donor or recipient origin. In this single-center retrospective study, the incidence of donor/recipient Rh incompatibility was 7.1% over an 8-year period including 1012 alloHSCT. Six of 58 evaluable patients (10.3%) developed alloantibodies to RBC antigens within one year of alloHSCT. None of these allo-immunizations were directed against the donor-mismatched Rh antigens and none could have been prevented by the transfusion of recipient and donor Rh-compatible RBC units. None of these allo-immunizations led to immune-mediated hemolytic anemia. We observed a statistically significant higher incidence of chronic GVHD among patients with anti-RBC allo-immunization. In the context of donor/recipient Rh incompatibility, the transfusion of packed RBC units in the donor's Rh phenotype from the day of alloHSCT is feasible and not associated with a high risk of allo-immunization. The generalization of this strategy could be discussed even when donor and recipient Rh phenotypes could be respected, to allow the preservation of units of infrequent phenotypes for other indications.

US–UK–France relations amid the Russia–Ukraine war: a new strategic alignment?

Abstract The Russian invasion of Ukraine and the recognition of the rising challenge from China have resulted in a closer alignment of American, British and French strategic interests. This policy paper explores how the strategic relationship between the United States, the United Kingdom and France has evolved amid this changed threat environment. The Russia–Ukraine war exposed the limitations of France's policy of ‘strategic autonomy’ and reasserted the importance of an American role in European security. The war has re-focused attention upon the Lancaster House framework in which the UK and France have the potential to enhance their contribution to European defence. The UK still regards its ‘special relationship’ with the US as being of critical importance to its foreign policy. But the UK's diminishing military power makes it a less valuable ally to the US whose attention is increasingly upon the Indo-Pacific region. The paper argues that the alignment between the three countries has been closer over the Russian war in Ukraine compared to attitudes towards China, where tensions between France and the ‘Anglo-Saxons’ persist. France has been unwilling to adopt the American approach towards China and has stuck to its vision of a multipolar world. The AUKUS deal arranged between the US, UK and Australia had the effect of alienating France. The policy paper contends that the temporary alignment between US, UK and French interests will erode as long-standing conflicts of interest re-emerge. In particular, the unpredictability of US leadership will damage the trilateral relationship if Donald Trump regains the presidency in November 2024.

Governing the reterritorialization of agricultural activities: An assessment of food planning policies in France

This paper examines how food planning policies address the reterritorialization of agricultural activities (RAA), a crucial component of local food systems. While food planning as an integrated local policy promoting local food systems has gained increasing research attention, most of the research has been urban-centric, resulting in a limited understanding of how it includes RAA. This paper fills this research gap by assessing 39 food planning projects in France, where the state defines food planning by national law and supports local projects. Through document analysis and semi-structured interviews, RAA-associated food planning policy goals, instruments, and agri-food professional actors' involvement are identified. The empirical findings highlight the central role of RAA in French food planning projects; it either serves as the primary motivation behind these projects or evolves into a substantial component as the projects develop. A wide range of policy instruments with local innovation to support RAA are identified, with more frequent use of informational and economic than regulatory and coercive instruments, and more focus on economic development than on ecological transition. Minority and majority farmers’ organizations are involved in food planning processes with varying degrees of engagement across territories, reflecting local governance strategies. The analytical methods in this study may contribute to future research to better comprehend RAA in local food policymaking. The systematic overview of RAA-associated food planning measures also offers insights to policymakers in other contexts regarding food policy design. The paper concludes by arguing that food planning extends beyond urban food supply; it also presents an opportunity to leverage RAA for rural revitalization and transformation, in terms of production models, rural-urban links, and local governance.

Immigration and integration policy change in France during Sarkozy’s era

This paper sheds light on the factors behind the introduction of restrictive immigration and integration policy in France between 2002 and 2012, which is closely associated with Nicholas Sarkozy and his party Union for a Popular Movement (UMP). Using the evidence from semi-structured interviews, conducted with The Republicans (UMP) elected representatives, political advisors and civil servants, the paper argues that the introduction of restrictive immigration policies is explained not only through electoral pressure from the radical right Front National, but also by publics’ perceived economic concerns, cultural anxieties around Islam, as well as the effects of the EU integration. The paper also contributes to immigration policy liberalisation scholarship, by highlighting the importance of non-economic benefits migration brings, which take a form of soft power, as a way to increase French influence (rayonnement) in the world, contrary to the previous literature that explains liberalisation from economic advantages of skilled migration.

A tale of two policies: Urban sustainability in France and the UK

This paper contrasts urban sustainability policies in France and the UK, revealing significant differences in their approaches to climate action and urban mobility. France's policies, such as tripling SUV parking fees and promoting the 15-min city concept, aim to reduce carbon emissions and improve livability by encouraging walking and cycling, reflecting a commitment to sustainable mobility and environmental equity. In contrast, the UK's extension of a 5p fuel duty cut benefits wealthier, multiple-vehicle owners, showing a different prioritization. With urban populations rising globally, the necessity for sustainable urban planning becomes increasingly critical. This analysis demonstrates how France and the UK's divergent strategies underscore the importance of integrating sustainability and equity into urban policy to mitigate environmental impact and enhance urban livability, advocating for a reevaluation of long-term urban development and sustainability impacts.

What are the effects of smoke-free and tobacco-free university campus policies, and how can they be assessed? A systematic review

ObjectiveThis article looks at the evaluation of smoke-free (SF) and tobacco-free (TF) university campus policies that ban smoking (and often vaping) both indoors and outdoors. To assess the effectiveness of these policies, we performed a systematic literature review to answer the following questions: what is the effect of SF/TF policies on campus users’ behaviors/norms/perceptions around smoking? Are the SF/TF policies an effective measure for reducing smoking among young adults? What methods and indicators can we use to assess the impact of SF/TF campus policies? What is the theoretical model underpinning the influence of SF/TF policies on the behavior of campus users? MethodsThree databases (PubMed, Scopus, and Web of Science) were searched over the period from January 2005 to December 2022. The article selection process included 54 articles published in scientific journals that analyzed the post-implementation impact of SF/TF campus policies. The quality of these articles was analyzed using six ad hoc indicators based on the Critical Appraisal Skills Program checklist and Joanna Briggs Institute scoping tools. ResultsMost of the research on SF/TF campus policies has been conducted in the United States using quantitative methodologies. Most of these studies show that SF/TF policies reduce positive beliefs about smoking and its acceptability, influence smoking behavior (reducing smoking initiation and increasing the number of quits and quit attempts), and reduce exposure to passive smoking and pollution from cigarette butts. User acceptability of SF/TF policies is generally high. Limitations of SF/TF campus policies include difficulty for smokers to comply with them, persistence of passive smoking around campuses, and limited uptake of on-campus cessation support services provided to smokers. DiscussionThe various mediating and moderating variables identified in the literature have made it possible to propose a model of the potential influence of SF/TF policy on campus users, based on the theory of planned behavior. Based on this review, we provide health professionals and higher education institutions wishing to implement a SF/TF campus policy with a set of indicators that can serve to assess the impact of a SF/TF campus policy (attitudes, acceptability, beliefs, norms, exposure to passive smoking and pollution, changes in smoking behavior). ConclusionBased on scientific evidence, the implementation of SF/TF campus policies in France is an important measure to help combat smoking in young adults.

État des lieux de la recherche en France concernant la prise en charge des auteurs de violences conjugales en lien avec l’évolution des politiques publiques

The aim of this paper is to report on the current state of research into the perpetrators of intimate partner violence in France in relation to changes in public policy. In France, 22% of women aged 15–49 who are married or are in a relationship have been subjected to physical or sexual violence by their intimate partner. If we also take into account psychological violence, this figure rises to almost 60%. The fight against intimate partner violence has been gathering more and more impetus in France over the last ten years. The first Council of Europe Convention on preventing and combatting violence against women and domestic violence (Istanbul Convention) was adopted in 2011, and the first country-specific recommendations were made in 2015. Intimate partner violence became a major undertaking of the first five-year term (2017–2022) of the French President of the Republic. In September 2019, his government launched the “Grenelle” of fighting against intimate partner violence, which aimed to identify improvements in the implementation of previous initiatives and to transform professional practices. Included among the measures taken after the “Grenelle”, was the creation of Centers for perpetrators of intimate partner violence (“Centres de prise en charge des auteurs de violences conjugale”: CPCA), and their implementation in 2020–2021 marked a real turning point, at a time when the care of perpetrators had previously received little attention from public policy in France. Other measures will follow, notably those recently introduced in order to better deal with family violence in the courts. Evaluation of these policies shows that there is still considerable room for improvement, but there is currently momentum for further progress, with a clear desire displayed for public authorities to step up their efforts. The primary objective of the CPCA is to stop intimate partner violence and reoffending from happening again. However, they were set up without any standards having been established, e.g. in terms of theoretical references or intervention approaches, as is the case in other countries (United States, United Kingdom, Canada) where the adoption of standards of practice has been gradual over 20 or 30 years. The lack of systematic risk assessment procedures for intimate partner violence in France can also be noted. In the same vein, this work provides an overview of research into the perpetrators of intimate partner violence in France. It reports on national statistical and demographic surveys, and on research in sociology, law, prison administration and the medical-psychological field. Scientific research focusing on the perpetrators of intimate partner in France is rare in psychiatry and the humanities and social sciences. Finally, a research project entitled “A portrait of practices with perpetrators of intimate partner violence and their impact: a case study of 7 to 8 centers which take care of them” funded by the French Ministry for gender equality, diversity and equal opportunities (2023–2024), is presented.

The everyday work of farm advisors as interface bureaucrats in greening French agricultural policies

For the last three decades, public agricultural policies in France and in Europe have progressively integrated environmental objectives through a wide range of instruments. Whereas a large body of research has examined the extent to which the greening of agricultural policies has shaped farmers' decisions and practices, few studies have considered how these normative policy orientations may trigger tensions within the agricultural bureaucratic apparatus, and notably among local farm advisors who play the role of interface bureaucrats. In this article, we have explored how farm advisors from different types of advisory structures develop multiple subjectivities and deal with the tensions that they face when navigating between policy goals, professional norms, and their personal beliefs and values. Drawing on plural qualitative methods, we focus on the implementation of two national public agroecological schemes in southwest France that support the emergence and facilitation of farmers' groups engaged towards agroecology. We find that organizational strategies shape the type of tensions advisors face and their ability to manage these. The type of policy instrument we considered also matters in the forms of creative bricolage that farm advisors develop: in the case of organizational instruments based on farmers' participation, maintaining relationships with farmers is critical to give meaning to their work. If such instruments enlarge the creative space of farm advisors, the schemes we examined also hold in-built limitations in empowering farm advisors as they fail to address the structural constraints that shape agroecological transitions.

Міжнародний досвід регулювання конвергенції регіонального розвитку

The article analyzes the international experience of convergence of regional development. The features of the European development of regional policy are defined. The main stages of formation of regional policy of some European countries have been allocated. It is substantiated that the change of the conception of the Europe of nations into the conception of the Europe of regions has led to the formation of a single market, in which the regions are considered as independent players due to increasing their competitiveness. The main tasks of regional development support funds in European countries have been formed. It is determined that on the basis of support and implementation of socioeconomic reforms, introduction of innovative technologies, an increase in the competitiveness of regions and an increase in the level of employment of the population has been achieved. In developed countries, programs are being developed to improve energy infrastructure, which include the development of alternative energy, the introduction of energy-saving technologies, and the creation of new energy communications. It is determined that in regional development an important role is played by stimulation of medium and small businesses, which is implemented on the basis of support of such initiatives by providing them with simplified access to capital, activation of enterprises engaged in tourism activities. It is determined that, despite the different levels of regional development, the main vector is the creation of prerequisites for the balanced development of all territories through minimizing the impact of negative environmental factors. The main instruments for ensuring the convergence of regional development have been allocated. The policy of France in the direction of stimulating the convergence of regions, which consists in the State-controlled system of contracts for planning regional development, is substantiated. The regional development policy of the Netherlands and Austria is more focused on the development of instruments of influence. The peculiarity of the Danish system of regional development is the refusal to stimulate and support certain problem regions and the application of a market approach, which is aimed at creating the necessary conditions for their independent development. The features of the policy of regional convergence of the USA, China, Canada and Australia have been studied, which allowed to allocate the features of their policy of stimulating the development of territories. The main aspects of the formation of regional development policy in Ukraine are also examined and the priority tasks in this aspect are allocated.

Analysis of Linguistic Issues in Multicultural Policies in France and the European Union

Analysis of Linguistic Issues in Multicultural Policies in France and the European Union

프랑스의 반부패규율 정책의 함의와 시사점

Corruption acts that negatively affect the our macroeconomy as well as distortion of resource allocation vary considerably in their type and scope of persons involved, so the regulation for them should also be secured at a multi-faceted and systematic level. Considering that several acts that cannot be seen as violations of the legal provision can also be classified as types of corruption, such as solicitation through indirect strings and distortion of decision-making using influence within and between organizations, the need for more diverse and flexible regulation against corruption can be admitted. It is also important to set corruption acts as punishable acts through elements of a crime and to specify the regulations for them. However, the situation, such as the diverse type of corruption, difficulty in setting the category of related persons who commits corrupt, and the emergence of continuous new types of corruption acts, make us to acknowledge the necessity and validity of proactive regulative measures rather than passive, that is, post-punishment. Accordingly, the Institute of Internal Auditors has recently thrown up the topic of internal audit, that is, 3 Line Model, and France is focusing on various regulative activities against corrupt centered on anti-corruption agencies such as Cour Des Comptes France, AFA etc. We are also focusing on corruption regulations through various laws, including the Public Servant's Ethics Act, Conflict of Interest Prevention Act for Public Officials and the Act on the Establishment and Operation of the Anti- Corruption and Anti-Corruption and Civil Rights Commission, and various organizations such as the Board of Audit and Inspection and the Anti-Corruption and Civil Rights Commission etc. These acts mainly deal with specific restrictions on behavior and there are many cases of overlapping regulations, and there is no primary institution functionally responsible for corruption regulations. On the other hand, there are various corruption regulation measures such as AFA in France and thus we can consider the policy of France in our policy on regulation against corruptions. And furthermore, considering the experience of France, we are able to take into account of the policy that the full-fledged implementation of internal audits in that there are difficulties in swift legal response.

“I can't get no satisfaction”: Soil contaminated brownfield redevelopment in France

With a multitude of contaminated brownfields awaiting redevelopment, gaining insight into residents' perceptions of these sites is paramount. This study addresses this gap by investigating factors underlying dissatisfaction with contaminated brownfield redevelopment in France. To this purpose, we conducted in 2015 a survey among 803 French individuals living in municipalities impacted by at least one contaminated brownfield site. We collected data on the following topics: risk perceptions and risk experience regarding soil contamination, preferences regarding brownfield redevelopment projects and socio-demographic characteristics. Nearly 80 % of the surveyed individual's express dissatisfaction with contaminated brownfield redevelopment policies in France. Using logistic regressions, we explain dissatisfaction regarding contaminated brownfield redevelopment. Our results show the regions of residence considering the number of contaminated brownfield sites is significantly and positively correlated with individuals' dissatisfaction. Dissatisfaction is also correlated with risk perception of soil contamination, brownfield, and awareness of brownfield site in the nearby environment of living. Individuals perceive the risk of soil pollution in their municipality as high (scoring 7). This level of concern is positively correlated with the dissatisfaction expressed towards brownfield redevelopment policies. Individuals who tend to mistrust State government are not willing to be involved in brownfield redevelopment projects and to use remediated facilities on formerly contaminated brownfields. This raises issues regarding ways to reduce the stigma effect related to contaminated brownfield.

Constitution & Decentralized Government System in France

France is a republican country and uses a semi-presidential unitary government system with democracy which is very inherent in the country. The semi-presidential government system is a combination of the presidential government system and the parliamentary government system, in this case there are two executive leaders, each of whom has their own role. The executive leaders are the President of France who serves as head of state and the prime minister who serves as head of government.The French government system is semi- presidential, the French executive is led by a President who is assisted by a Prime Minister, the French Government is responsible to Parliament based on the provisions of Articles 49 and 50 of the French Constitution. However, the French Parliament consists of the National Assembly and Senate, where the National Assembly has the power to dissolve the cabinetso that the majority determines the choice of the Government, in contrast to Indonesia where Ministers cannot be dismissed by Parliament. The decentralization policy in France is based on a law of the French parliament known as the Gaston Deferred Law of 1982. Concept Autonomous government in France itself is divided into four categories, namely institutional, legal, financial and human resources. In the French Government, the Central Government does not intervene at all when problems arise between the Regional Government and other Regional Governments. The Central Government can act as a mediator but not as a decision-making body, because based on Article 72 of the French Constitution, problems relating to territorial matters are resolved through associations between related parties based on the authority to establish laws.