Childcare as a social determinant of access to healthcare: a scoping review.

Autor:	McArthur M; University of Texas Southwestern Medical School, University of Texas Southwestern Medical Center, Dallas, TX, United States., Tian P; University of Texas Southwestern Medical School, University of Texas Southwestern Medical Center, Dallas, TX, United States., Kho KA; Division of Gynecology, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, United States., Bhavan KP; Center of Innovation and Value at Parkland, Parkland Health, Dallas, TX, United States.; Division of Infectious Diseases, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, United States., Balasubramanian BA; Department of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, United States.; Institute for Implementation Science, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, United States., Ganguly AP; Division of General Medicine and Clinical Epidemiology, Department of Internal Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2024 Dec 03; Vol. 12, pp. 1443992. Date of Electronic Publication: 2024 Dec 03 (Print Publication: 2024).
DOI:	10.3389/fpubh.2024.1443992
Abstrakt:	Introduction: As health systems strive to screen for and address social determinants of health (SDOH), the role of access to childcare and barriers to healthcare posed by childcare needs remains underexplored. A gap exists in synthesizing existing evidence on the role of access to childcare as a SDOH. Methods: This scoping review aimed to examine and analyze existing literature on the role of childcare needs as a social determinant of access to healthcare. We conducted a structured literature search across PubMed, Scopus, health policy fora, and professional healthcare societies to inclusively aggregate studies across interdisciplinary sources published between January 2000 and June 2023. Two independent reviewers reviewed results to determine inclusions and exclusions. Studies were coded into salient themes utilizing an iterative inductive approach. Results: Among 535 search results, 526 met criteria for eligibility screening. Among 526 eligible studies, 91 studies met inclusion criteria for analysis. Five key themes were identified through data analysis: (1) barriers posed by childcare needs to healthcare appointments, (2) the opportunity for alternative care delivery models to overcome childcare barriers, (3) the effect of childcare needs on participation in medical research, (4) the impact of the COVID-19 pandemic on childcare needs, and (5) the disproportionate burden of childcare experienced by vulnerable populations. Discussion: Childcare needs remain underexplored in existing research. Current evidence demonstrates the relevance of childcare needs as a barrier to healthcare access, however dedicated studies are lacking. Future research is needed to understand mechanisms of childcare barriers in access to healthcare and explore potential interventions. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 McArthur, Tian, Kho, Bhavan, Balasubramanian and Ganguly.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu