title: The economic impact on families when a child is diagnosed with cancer.
abstract: OBJECTIVE
  In a study conducted in New Brunswick and Newfoundland and Labrador, we examined the economic impact on families caring for a child with cancer.
  
  
  METHODS
  We undertook semi-structured interviews with 28 French and English families with a child diagnosed with cancer in the last 10 years.
  
  
  RESULTS
  Families who care for a child with cancer incur considerable costs during the diagnostic, treatment, and follow-up care phases of the disease. Four major themes emerged from this qualitative study as contributing factors for these expenses: necessary travel; loss of income because of a reduction or termination of parental employment; out-of-pocket treatment expenses; and inability to draw on assistance programs to supplement or replace lost income. In addition, many of the decisions with regard to the primary caregiver were gendered. Typically, the mother is the one who terminated or reduced work hours, which affected the entire family's financial well-being.
  
  
  CONCLUSIONS
  For families with children diagnosed with cancer, financial issues emerged as a significant concern at a time when these families were already consumed with other challenges. This economic burden can have long-term effects on the financial security, quality of life, and future well-being of the entire family, including the siblings of the affected child, but in particular the mother. Financial assistance programs for families of seriously ill children need to be revisited and expanded.
authors.affiliation: Dalhousie University, Family Medicine Teaching Unit, Fredericton, NB. bo.miedema@rvh.nb.ca
authors.forename: B
authors.initials: B
authors.lastname: Miedema
authors.forename: J
authors.initials: J
authors.lastname: Easley
authors.forename: P
authors.initials: P
authors.lastname: Fortin
authors.forename: R
authors.initials: R
authors.lastname: Hamilton
authors.forename: M
authors.initials: M
authors.lastname: Mathews