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The changing hospital landscape: An exploration of international experiences

August 20, 2014 Comments off

The changing hospital landscape: An exploration of international experiences
Source: RAND Corporation

The nature of hospital activity is changing in many countries, with some experiencing a broad trend towards the creation of hospitals groups or chains and multi-hospital networks. This report seeks to contribute to the understanding of experiences in other countries about the extent to which different hospital ‘models’ may provide lessons for hospital provision in England by means of a review of four countries: France, Germany, Ireland and the United States, with England included for comparison. We find that here has been a trend towards privatisation and the formation of hospital groups in France, Germany and the United States although it is important to understand the underlying market structure in these countries explaining the drivers for hospital consolidation. Thus, and in contrast to the NHS, in France, Germany and the United States, private hospitals contribute to the delivery of publicly funded healthcare services. There is limited evidence suggesting that different forms of hospital cooperation, such as hospital groups, networks or systems, may have different impacts on hospital performance. Available evidence suggests that hospital consolidation may lead to quality improvements as increased size allows for more costly investments and the spreading of investment risk. There is also evidence that a higher volume of certain services such as surgical procedures is associated with better quality of care. However, the association between size and efficiency is not clear-cut and there is a need to balance ‘quality risk’ associated with low volumes and ‘access risk’ associated with the closure of services at the local level.

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Consumer Cash Usage: A Cross-Country Comparison with Payment Diary Survey Data

August 20, 2014 Comments off

Consumer Cash Usage: A Cross-Country Comparison with Payment Diary Survey Data
Source: Federal Reserve Bank of Boston

We measure consumers’ use of cash by harmonizing payment diary surveys from seven countries. The seven diary surveys were conducted in 2009 (Canada), 2010 (Australia), 2011 (Austria, France, Germany, and the Netherlands), and 2012 (the United States). Our paper finds cross-country differences — for example, the level of cash use differs across countries. Cash has not disappeared as a payment instrument, especially for low-value transactions. We also find that the use of cash is strongly correlated with transaction size, demographics, and point-of-sale characteristics such as merchant card acceptance and venue.

Gender and time allocation of cohabiting and married women and men in France, Italy, and the United States

July 17, 2014 Comments off

Gender and time allocation of cohabiting and married women and men in France, Italy, and the United States
Source: Demographic Research

Background:
Women, who generally do more unpaid and less paid work than men, have greater incentives to stay in marriages than cohabiting unions, which generally carry fewer legal protections for individuals that wish to dissolve their relationship. The extent to which cohabitation is institutionalized, however, is a matter of policy and varies substantially by country. The gender gap in paid and unpaid work between married and cohabiting individuals should be larger in countries where cohabitation is less institutionalized and where those in cohabiting relationships have relatively fewer legal protections should the relationship dissolve, yet few studies have explored this variation.

Objective:
Using time diary data from France, Italy, and the United States, we assess the time men and women devote to paid and unpaid work in cohabiting and married couples. These three countries provide a useful diversity in marital regimes for examining these expectations: France, where cohabitation is most “marriage like” and where partnerships can be registered and carry legal rights; the United States, where cohabitation is common but is short-lived and unstable and where legal protections vary across states; and Italy, where cohabitation is not common and where such unions are not legally acknowledged and less socially approved than in either France or the United States.

Results:
Cohabitating men’s and women’s time allocated to market and nonmarket work is generally more similar than married men and women. Our expectations about country differences are only partially borne out by the findings. Greater gender differences in the time allocated to market and nonmarket work are found in Italy relative to either France or the U.S.

National Funding of Road Infrastructure

July 10, 2014 Comments off

National Funding of Road Infrastructure
Source: Law Library of Congress

This report examines the funding of roads and highways in Australia, Brazil, Canada, China, England and Wales, France, Germany, Israel, Italy, Japan, Mexico, Netherlands, South Africa, and Sweden. It provides a description of the infrastructure in the jurisdiction, information on the ownership and responsibility of the roads, and taxes or other ways of collecting money to fund the nation’s infrastructure. If applicable, a discussion of reforms or new initiatives is examined.

Backgrounder: The Group of Seven (G7)

May 20, 2014 Comments off

Backgrounder: The Group of Seven (G7)
Source: Council on Foreign Relations

The Group of Seven (G7) is an informal bloc of industrialized democracies—France, Germany, Italy, the United Kingdom, Japan, the United States, and Canada—that meets annually to discuss issues of common interest like global economic governance, international security, and energy policy. Proponents say the forum’s small and relatively homogenous membership promotes collective decision-making, but critics note that it often lacks follow-through and that its membership excludes important emerging powers. Russia belonged to the forum from 1998 through 2014—then the Group of Eight (G8)—but the other members suspended their cooperation with Moscow after its annexation of Crimea in March of that year.

Slow Motion: The Labor Market Integration of New Immigrants in France

May 7, 2014 Comments off

Slow Motion: The Labor Market Integration of New Immigrants in France
Source: Migration Policy Institute

France’s labor market can be hostile to new entrants, whether recently arrived immigrants or young people seeking their first jobs. Restrictions on foreign nationals working in the public sector, stringent requirements for certain jobs, and occupational ladders that are difficult to penetrate at later points together effectively cut off many jobs to newly arrived immigrants. Meanwhile, the fact that France has significantly larger proportions of family-driven migration than labor migration has meant that the new arrivals, by virtue of not having been selected because of their skills, often have low educational attainment, which can put them at risk of unemployment.

This report assesses the labor market outcomes of new immigrants to France, based on French Labor Force survey data. The report is part of a series of six case studies on labor market outcomes among immigrants to European Union countries.

The Future of Immigrant Integration in Europe: Mainstreaming Approaches for Inclusion

March 28, 2014 Comments off

The Future of Immigrant Integration in Europe: Mainstreaming Approaches for Inclusion
Source: Migration Policy Institute

Immigrant integration policies that are designed for migrants to Europe, particularly newcomers, are important, but they can be insufficient over the long run to realize the full economic potential and societal participation of immigrants and citizens with an immigrant background.

For this reason, several European governments have increasingly turned to the strategy of “mainstreaming” integration—an effort to reach people with a migration background through needs-based social programming and policies that also target the general population—in order to address areas where traditional immigrant integration polices have fallen short.

This MPI Europe report assesses the degree to which four European countries—relative veterans regarding the reception and integration of immigrants—have mainstreamed integration priorities across general policy areas such as education, employment, and social cohesion. The report shows how approaches to mainstreaming in Denmark, France, Germany, and the United Kingdom reflect each country’s distinct ethnic profile, diversity, and social traditions. It also offers suggestions for future policy development.

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