Regional disparities in mortality by heart attack: evidence from France

This paper studies the determinants of the regional disparities in the mortality of patients treated in a hospital for a heart attack in France. These determinants can be some differences in patient characteristics, treatments, hospital charateristics, and local healthcare market structure. We assess their importance with an exhaustive administrative dataset over the 1998-2003 period using a stratified duration model. The raw disparities in the propensity to die within 15 days between the extreme regions reaches 80%. It decreases to 47% after controlling for the patient characteristics and their treatments. In fact, a variance analysis shows that innovative treatments play an important role. Remaining regional disparities are significantly related to the local healthcare market structure. The more patients are locally concentrated in a few large hospitals rather than many small ones, the lower the mortality.spatial health disparities ; stratified duration model

Assessing the Effects of Local Taxation Using Microgeographic Data

We study the impact of local taxation on the location and growth of firms. Our empirical methodology pairs establishments across jurisdictional boundaries to estimate the impact of taxation. Our approach improves on existing work as it corrects for unobserved establishment heterogeneity, for unobserved time-varying site specific effects, and for the endogeneity of local taxation. Applied to data for English manufacturing establishments we find that local taxation has a negative impact on employment growth, but no effect on entry.Local taxation, spatial differencing, borders

Do unemployed workers benefit from enterprise zones? The French experience

This paper is a statistical evaluation of the 1997 enterprise zone program in France. We investigate whether the program increased the pace at which unemployed workers residing in targeted municipalities and surrounding areas find employment. The work relies on a two- stage analysis of unemployment spells drawn from an exhaustive dataset over the 1993-2003 period in the Paris region. We first estimate a duration model stratified by municipalities in order to recover semester-specific municipality effects net of individual observed heterogeneity. These effects are estimated both before and after the implementation of the program, allowing us to construct variants of difference-in-difference estimators of the impact of the program at the municipality level. Following extensive robustness checks, we conclude that enterprise zones have a very small but significant effect on the rate at which unemployed workers find a job. The effect remains localized and is shown to be significant only in the short run.

Estimating gender differences in access to jobs: females trapped at the bottom of the ladder

In this paper, we propose a job assignment model allowing for a gender difference in access to jobs. Males and females compete for the same job positions. They are primarily interested in the best-paid jobs. A structural relationship of the model can be used to empirically recover the probability ratio of females and males getting a given job position. As this ratio is allowed to vary with the rank of jobs in the wage distribution of positions, barriers in females' access to high-paid jobs can be detected and quantiffed. We estimate the gender relative probability of getting any given job position for full-time executives aged 40-45 in the private sector. This is done using an exhaustive French administrative dataset on wage bills. Our results show that the access to any job position is lower for females than for males. Also, females' access decreases with the rank of job positions in the wage distribution, which is consistent with females being faced with more barriers to high-paid jobs than to low-paid jobs. At the bottom of the wage distribution, the probability of females getting a job is 12% lower than the probability of males. The difference in probability is far larger at the top of the wage distribution and climbs to 50%.gender ; discrimination ; wages ; quantiles ; job assignment model ; glass ceiling

Do Unemployed Workers Benefit from Enterprise Zones? The French Experience

This paper presents an impact evaluation of the French enterprise zone program which was initiated in 1997 to help unemployed workers find employment by granting a significant wage-tax exemption (about one third of total labor costs) to firms hiring at least 20% of their labor force locally. Drawing from a unique geo-referenced dataset of unemployment spells in the Paris region over an extensive period of time (1993-2003), we are able to measure the direct effect of the program on unemployment duration, distinguishing between short- and medium-term effects. This is done by implementing an original two-stage empirical strategy using individual data in the first stage and aggregate data and conditional linear matching techniques in the second stage. We show that although the enterprise zones program tended to "pick winners", it is likely to be cost-ineffective. It had a small but significant effect on the rate at which unemployed workers find a job (which is increased by a modest 3 percent). This effect is localized and significant only in the short run (i.e. at best during the 3 years that follow the start of the policy).enterprise zone, evaluation of programs, regional policies, unemployment

Innovative procedures: the key factor for hospital performance

The role of innovative procedures in the mortality differences between university, non-teaching public and for-profit hospitals is investigated using a French exhaustive administrative dataset on patients admitted for heart attack. Mortality is roughly similar in the three types of hospitals after controlling for case-mix. For-profit hospitals treat the at-risk oldest patients more often with innovative procedures. Therefore, additionnally controlling for innovative procedures makes them having the highest mortality rate. Non-teaching public hospitals end up having the lowest mortality rate

Homeownership of immigrants in France

We investigate the difference in homeownership rate between natives and immigrants as well as its evolution in France using a large longitudinal dataset over the 1975-1999 period. For people staying on the territory the whole time (ie. stayers), we show that returns of characteristics change in favor of immigrants consistently with better integration and this is particularly true for South Europeans. Moreover, for immigrants, entries on the territory have a large negative effect on the evolution of the homeownership rate. Although entrants have a better education than stayers, they are younger and thus at an earlier stage of the wealth accumulation process. They also locate in large cities where the homeownership rate is lower, and the returns of their characteristics are lower than the ones of stayers. Finally, exiters have a positive effect on the evolution of homeownership rate but this effect is only one third of the one of entrants

Do unemployed workers benefit from enterprise zones? The French experience

This paper is a statistical evaluation of the 1997 enterprise zone program in France. We investigate whether the program increased the pace at which unemployed workers residing in targeted municipalities and surrounding areas find employment. The work relies on a two- stage analysis of unemployment spells drawn from an exhaustive dataset over the 1993-2003 period in the Paris region. We first estimate a duration model stratified by municipalities in order to recover semester-specific municipality effects net of individual observed heterogeneity. These effects are estimated both before and after the implementation of the program, allowing us to construct variants of difference-in-difference estimators of the impact of the program at the municipality level. Following extensive robustness checks, we conclude that enterprise zones have a very small but significant effect on the rate at which unemployed workers find a job. The effect remains localized and is shown to be significant only in the short run.

Housing and location choices of retiring households: Evidence from France

In this paper, we study the mobility and housing choices of the elderly when retiring using household data collected in France. From a theoretical viewpoint, retirees are likely to decrease their housing quantity because of an income loss when retiring, but they may also increase it to benefit from more housing comfort for leisure. Using the 1992 Trois Générations survey, we first show that housing mobility at retirement is substantial in France, with a variety of self-reported motives. Then, using the 1994-2001 French Europanel survey, we find evidence of both upsizing and downsizing for mobile recent retirees. In many cases, housing adjustments lead to a correction of the initial disequilibrium between the number of rooms and the number of occupants. However, a significant proportion of mobile recent retirees improve the quality of their dwelling