[Geography of the disabled child population in metropolitan France]. / Géographie de la population des enfants en situation de handicap en France métropolitaine.

The match between supply and demand for services or equipment for children with disabilities is not easy to determine because, on the one hand, the distribution of disability is not homogeneous across the territory, and on the other hand there is a diversity of databases that does not allow a real estimate of demand. We propose first a discussion on the available data sources to approximate the geographical distribution of children with disabilities. In a second step, we propose a distribution model based on a spatial statistical analysis of the determinants of disability. Our goal is to understand in which ways the available data can be, by assessing their convergence, indicative of the distribution of the population of children with disabilities in the territory. A critical discussion is needed on gaps in disability measurement and assessment systems to improve the link between population estimation and service provision.

[Geographic distribution of supportive care for disabled young people]. / Les services d'accompagnement pour jeunes en situation de handicap: une géographie de l'offre.

AIM: To analyse the logic for the distribution of home care services for disabled children (SESSAD) in a context of under-equipment. METHODS: Questionnaire-based survey of 75 units (82% of the region's SESSAD units) concerning patient transport. Equipment and transport mapping. RESULTS: Support units for disabled children are often set up in the housing facilities that contributed to their creation. These sites are sometimes situated a long way from densely populated regions, thereby generating unnecessary travel times and expenses. Chronic under-equipment makes these sites viable, as the various units are always full, despite their distance from the children for whom they provide support. Mapping illustrates the extensive recruitment zones overlapping several units managing similar patients. CONCLUSION: The major revision of accreditation of these units, planned for 2017, could lead to redefinition of geographical zones of accreditations. New unit opening procedures based on ARS calls for tenders may help to improve the geographical distribution of this supportive care.