The challenge of caring for mildly ill children: a Canadian national childcare study |
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| Institution: | 1. Department of Gynecologic-Obstetrical and Urologic Sciences, “Sapienza” University of Rome, Rome, Italy;2. Department of Experimental Medicine, Unit of Regenerative Medicine, “Sapienza” University of Rome, Rome, Italy;1. School of Physical Electronics, University of Electronic Science and Technology of China, Chengdu 610054, PR China;2. Institute of Materials Science and Engineering, Ocean University of China, Qingdao 266100, PR China;3. Guangxi Key Laboratory of Information Materials, Guilin University of Electronic Technology, Guilin 541004, PR China;4. Key Laboratory of Renewable Energy Advanced Materials and Manufacturing Technology, Ministry of Education, Yunnan Normal University, Kunming 650092, PR China;5. Zhongshan Branch of State Key Laboratory of Electronic Thin Films and Integrated Devices, University of Electronic Science and Technology of China Zhongshan Institute, Zhongshan 528402, PR China;1. California State University, Fullerton, 800 N. State College Blvd., Fullerton, CA 92831, United States;2. AT. Still University, 5850 E. Still Circle, Mesa AZ 85206, United States;3. University of North Carolina at Chapel Hill, 209 Fetzer Hall, Chapel Hill, NC 27515, United States;1. Health and Life Sciences, Oxford Brookes University, Gypsy Lane, Oxford, UK;2. RAL Space, Didcot, Oxfordshire, UK |
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| Abstract: | This Canadian study of the care of mildly ill children in licensed childcare facilities compares director and parent preferences for eight models of care, exclusionary practices for ill children by directors, and preferred backup care options of parents. It also investigates anticipated usage and willingness of parents to pay for emergency childcare. Participants include 328 directors and 742 parents from center and family childcare (FCC) homes, rural and urban locales, and five provinces. Parents and directors favor “joint family-employer” and “extended family” models and least prefer “infirmary” and “special licensed” childcare models. Directors favor more strongly than parents the options of parents or relatives caring for ill children and are less supportive than parents of facility-based models. Directors usually exclude children with diarrhea, fever and lethargy but accept children with a runny nose or cough. For backup care, parents prefer themselves or extended family. Most parents would use emergency childcare services but are unwilling to pay beyond the normal childcare rate. This investigation identifies key areas in the care of mildly ill children to be examined further through prospective studies. |
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