The report, published by the Policy Press, says decades of underinvestment and limited integration of childcare provision have led to a fragmented and expensive service.
The book, A new deal for children?, compared the success of reforms in Scotland and England with Sweden, where parents pay up to six times less for pre-school places. It found Sweden's "whole-day" schools provided a more coherent approach.
Co-author Bronwen Cohen, chief executive of Children in Scotland, said: "While there has been an emphasis on investment of public funds to tackle poverty, childcare provision has been largely left to the private sector."
www.policypress.org.uk.
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