AARP Public Policy Institute, Washington, DC.
J Am Geriatr Soc. 2019 Jul;67(7):1336-1341. doi: 10.1111/jgs.15869. Epub 2019 Mar 18.
As our population ages, the ability to take time off to care for an ill family member or close friend without losing income or a job is a growing social, health, and economic issue for American families. Therefore, the need for paid family leave policies for workers with caregiving responsibilities is an important topic for employers and policymakers, in the clinical care of older adults, and at kitchen tables across the United States. Despite this growing need, paid family leave is not available to most workers, and there is no national paid family leave policy. Health care and social service providers have a role in ensuring that family members of their patients with a serious health condition or disability are aware of the potential availability of paid family leave benefits in the states and businesses that provide them. Building a better system of care for older adults means changes not only in health care settings and in long-term services and supports, but in workplaces too. This article describes the challenges faced by workers with family caregiving responsibilities, explains why paid family leave matters, indicates which states have adopted these protections, and reviews research on existing paid family leave policies. Finally, actions by clinicians and other stakeholders are offered to advance awareness about paid family leave benefits, including coverage for workers with care responsibilities for older people.
随着人口老龄化,美国的家庭在社会、健康和经济方面都面临着一个日益严重的问题,即如何在不失去收入或工作的情况下,抽出时间来照顾生病的家庭成员或亲密朋友。因此,对于有照顾责任的工人来说,带薪家庭休假政策的需求是雇主和政策制定者、老年人的临床护理以及全美各个家庭的重要议题。尽管有这种日益增长的需求,但大多数工人都无法享受带薪家庭休假,而且也没有全国性的带薪家庭休假政策。医疗保健和社会服务提供者在确保其患有严重疾病或残疾的患者的家庭成员了解所在州和提供此类福利的企业中可能获得的带薪家庭休假福利方面发挥着作用。建立一个更好的老年人护理体系意味着不仅要在医疗保健环境和长期服务与支持方面进行改变,还要在工作场所进行改变。本文描述了有家庭照顾责任的工人所面临的挑战,解释了为什么带薪家庭休假很重要,说明了哪些州已经采取了这些保护措施,并回顾了关于现有带薪家庭休假政策的研究。最后,提出了临床医生和其他利益相关者的行动,以提高对带薪家庭休假福利的认识,包括对有照顾老年人责任的工人的覆盖范围。