Mapping childcare support for patients at a sample of North American hospitals and cancer centers: an environmental scan

Support Care Cancer. 2022 Jan;30(1):593-601. doi: 10.1007/s00520-021-06460-x. Epub 2021 Aug 4.

Abstract

Purpose: Approximately a quarter of cancer patients are parents to young children. One unique challenge faced by this patient group is the difficulty of accessing childcare support during medical appointments. Hospital-based childcare options could represent a solution to this problem, but to this point, no comprehensive scans have described existing on-site childcare centers. The purpose of this study is to identify and characterize on-site childcare services available to patients at selected North American hospitals. This information could inform the development of similar programs for cancer patients.

Methods: Using publicly available information, an environmental scan of the grey literature was conducted to investigate Canadian and American hospitals for the presence of childcare services. A standardized data collection tool was used to extract center characteristics.

Results: Twenty-six childcare centers were identified across 161 hospitals in both Canada and the USA, with 8/55 Canadian hospitals and 18/106 American hospitals having patient-accessible on-site services. The majority of the centers were associated with pediatric hospitals (77%). Only a single childcare center was associated with a cancer hospital. All centers accommodated children between the ages of 3 and 8. Most centers were open for over 30 h per week (77%) and were free of charge to users (89%). Other characteristics, including capacity and staffing, varied widely.

Conclusions: These results represent an inventory of patient-accessible, on-site childcare services currently available at selected North American hospitals. Cancer patients who are also parents may especially benefit from this kind of support.

Keywords: Hospital childminding; On-site childcare; Parents with cancer; Psychosocial support; Supervised playrooms.

MeSH terms

  • Canada
  • Child
  • Child Care*
  • Child Day Care Centers
  • Child, Preschool
  • Hospitals
  • Humans
  • Neoplasms* / therapy