Developing a model of housing support: the evidence from Merseyside

This paper examines the complexities of providing housing support services for people who have experienced homelessness. The evidence is from a qualitative study of both those receiving and those providing support services for homeless people to resettle into the wider community from homeless accommodation in the Merseyside area. Different approaches of support are considered and using narratives, a model of successful support is established. The experiences of the majority of the service users strongly suggest that support has been critical in assisting a resettled way of life after being homeless. The paper contends that a critical prerequisite of successful support is the strength of desire of the homeless person to become resettled, coupled with a degree of motivation to engage with support services. The importance of such motivation should not be underestimated. Equally important to the success of resettlement is the relationship that most clients develop with a support worker. This relationship can initially develop while attempting to resolve practical difficulties of finding suitable, permanent accommodation. Through a mutual respect between worker and client and a high degree of empathy from a worker towards a client in tandem with an individualized support package aimed at independent living successful outcomes can occur. The paper concludes that support is successful when it is provided in a flexible manner thus relying on the skill and ability of a support worker to adequately judge the exact requirements of a service user. When this delicate balance between support and service user needs is achieved, the outcome is long‐term sustainable housing solutions.     

De l'alliance à la gouvernance: logiques d'action et logiques d'acteurs dans un centre financier aux entreprises desjardins

Résumé ** :  Cet article présente une étude de cas d'un Centre financier aux entreprises, une forme d'alliance stratégique entre des caisses Desjardins d'épargne et de crédit. Nous recourons à un cadre d'analyse qui permet d'expliquer à la fois ce qui préside aux accords et aux conflits qui marquent ce nouvel arrangement organisationnel. Nous appréhendons ainsi l'organisation dans sa réalité complexe, notamment les tensions que vit la coopérative qui a des activités dans un domaine hautement compétitif et marchand tel que celui du financement aux entreprises. Ceci permettra de voir qu'outre les modes de gouvernance qui existent au sein des caisses Desjardins – hiérarchique, marchand et démocratique – la nouvelle logique connexionniste est porteuse d'un modèle d'entreprise en réseau (Boltanski et Chiapello, 1999) ainsi que de nouvelles logiques d'acteurs (émergent, de l'interface et occasionnel) caractérisant l'entreprise incertaine (Francfort et al. 1995). Un nouveau mode de gouvernance en réseau vient s'articuler aux autres modes de gouvernance existants, ce qui induit des ruptures avec le cadre coopératif traditionnel tout en assurant une certaine continuité avec les valeurs coopératives .     

Certification of Origin as a Non-Tariff Barrier

This paper puts forward the opinion that the certification of origin constitutes another type of non‐tariff barrier. Indeed, certification of origin often combines both a quantity restriction and a sort of quality cost subsidy. We consider the canonical model of strategic trade policy, whereby two firms located respectively in the home country and in a foreign country are competing on the domestic market. In this framework, we show how certification can allow the domestic firm to position itself as a high quality producer. If, however, the certified firm offers the low quality good, then consumers’ surplus may be improved.     

English-Language Skills and the Earnings of Self-Employed Immigrants in the United States: A Note

Employing U.S. Census data, this study analyzes how English-language fluency affected the earnings of self-employed immigrant men in the 1980s. Our results suggest that English proficiency became a more important determinant of earnings for foreign-born entrepreneurs in 1990 compared with 1980, even while controlling for factors affecting selection into self-employment.     

Hot or not? The role of cycling in ASEAN megacities: Case studies of Bangkok and Manila

The Association of the Southeast Asian Nations (ASEAN) recognizes the role of nonmotorized transport for sustainable urban development in its policy framework. National and local policymakers in Thailand and The Philippines, two tropical countries without a tradition of urban cycling, are increasingly paying attention to cycling as well. This article aims to assess the current situation and progress in cycling, using Bangkok and Metropolitan Manila as case study cities, and to describe the necessary conditions for advancing the significance of cycling in tropical megacities. This is done by operationalizing the so-called Technological Innovation Systems (TIS) framework, which has been used in transition studies since 2008, however, never for cycling. As such this article also “tests” this framework for its application in sustainable transportation. The two case studies are characterized with regards to the current role of cycling in the mobility system, its infrastructure, governance system, and existing research on the potential and barriers. We find that TIS can readily be applied to our cases, with the analysis showing that elements such as knowledge development, actor networks, e-bike adoption, infrastructure, resource mobilization and legitimation are not well developed; on the other hand, flat terrain, attention for cycling for health and environment, heavy congestion, expansion of public transport, growing bike industry, active university communities, and the emergence of advocacy coalitions, could open up opportunities for increasing its modal share.     

A cost-effectiveness analysis comparing the originator follitropin alfa to its biosimilars in patients undergoing a medically assisted reproduction program from a French perspective

Objective: To assess the cost-effectiveness (CE) of the originator follitropin-α (Gonal-F) in patients undergoing a medically assisted reproduction (MAR) program in comparison to its biosimilars Bemfola and Ovaleap in a French context.

Methods: A CE model was developed for France with a National Health Service (NHS) perspective. Clinical, safety, and dosage data were derived from pivotal clinical trials that compared Gonal-F to Ovaleap and Bemfola. Costs pertaining to drugs, hospitalizations, specialist visits, and examinations were retrieved from the French Programme de Médicalisation des Systèmes d'Information (PMSI) hospital database, literature review, and French clinical experts using 2017?Euro tariffs. In order to test the robustness of results, deterministic one-way sensitivity analyses were carried out on the main variables to assess the impact of treatment cost, probability of birth, ovarian hyperstimulation syndrome (OHSS) rates, and dosage.

Results: The average incremental cost per live birth with OHSS and without OHSS was €259.56 and €278.39, respectively, for Gonal-F compared to the pooled biosimilars (i.e. Ovaleap and Bemfola). GONAL-F had an incremental efficacy of 0.06 over the pooled biosimilars. The incremental cost-effectiveness ratio for Gonal-F with OHSS ranged from €3,274.80 to €4,877.76 compared to the pooled biosimilars, owing to the additional live births reported with Gonal-F. Sensitivity analyses also supported results from the base case analyses, with Gonal-F being cost-effective or the dominant strategy in most cases.

Conclusion: Gonal-F seems to be a cost-effective strategy compared to its biosimilars Ovaleap and Bemfola, irrespective of the incidence of OHSS events, but further data are needed to confirm these results.     

Traditional Food Products: The Effect of Consumers’ Characteristics,Product Knowledge,and Perceived Value on Actual Purchase

The study demonstrates the importance of customer orientation in markets dominated by small food and drink manufacturers. The study evaluates the effect of consumers’ personal characteristics and perceptions on purchase and provides better understanding of their role in business development in specialty food markets. The United Kingdom’s Mediterranean food market was chosen as a context, focusing specifically on Greek feta. Two hundred seventy-three UK specialty food shoppers were surveyed online to determine what aspects of consumers’ cognition and what personal characteristics would affect purchase decisions. The findings reveal, through 3 models (R² = .26/.20/.19), that product knowledge (p < .01), country of origin (p < .10), perceived transactional value (p < .10), consumers’ life stage (p < .05), and available income (p < .01) are 5 critical factors affecting decision making. The managerial implications for small and medium sized enterprises (SMEs) lie in the need to create and deliver value to consumers by informing production decisions on consumers’ insight rather than on customers’ (wholesalers, retailers) specifications.