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错失宝贵时光:为长时间入住新生儿重症监护病房或特殊护理病房的婴儿的父母延长带薪育儿假。

Missing out on precious time: Extending paid parental leave for parents of babies admitted to neonatal intensive or special care units for prolonged periods.

作者信息

Spittle Alicia J, McKinnon Clare, Huang Li, Burnett Alice, Cameron Kate, Doyle Lex W, Anderson Peter, Baird Marian, Colditz Paul, Cruz Melanie, Pussell Kylie, Dalziel Kim, Eeles Abbey, Newnham John, Hunt Rod W, Cheong Jeanie

机构信息

Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia.

Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.

出版信息

J Paediatr Child Health. 2022 Mar;58(3):376-381. doi: 10.1111/jpc.15836. Epub 2021 Nov 27.

Abstract

In Australia, approximately 18% of newborn babies are admitted to a neonatal intensive or special care nursery. While most babies admitted to a neonatal intensive or special care nursery are discharged home within a few weeks, around 6% of babies spend more than 2 weeks in hospital. For the parents of these babies, much of their leave entitlements (Australian Government Paid Parental Leave Scheme is up to18 weeks for the primary care giver and up to 2 weeks for partners) are used before their baby comes home from hospital. The time babies and parents spend together in the early developmental period, during the hospitalisation and when the baby is discharged home, is crucial for optimal child development and bonding. Yet care givers who have a baby admitted to neonatal intensive or special care for extended periods are not currently entitled to any extra parental leave payments in Australia. We recommend the Australian Paid Parental Leave Act is changed to allow primary carers access to 1 week of extra parental leave pay for every week in hospital (for babies admitted to hospital for more than 2 weeks), up to a maximum of 14 weeks. For fathers and partners of these babies, we recommend an additional 2 weeks of extra Dad and Partner Pay. The net cost, taking into account likely productivity benefits, would be less than 1.5% of the current cost of the scheme and would improve health and socio-economic outcomes for the baby, family and society.

摘要

在澳大利亚,约18%的新生儿会被收治到新生儿重症监护室或特殊护理托儿所。虽然大多数被收治到新生儿重症监护室或特殊护理托儿所的婴儿会在几周内出院回家,但约6%的婴儿住院时间超过2周。对于这些婴儿的父母来说,他们的大部分休假权利(澳大利亚政府带薪育儿假计划,主要照顾者最长可达18周,伴侣最长可达2周)在婴儿出院回家之前就已用完。婴儿与父母在早期发育阶段、住院期间以及出院回家后相处的时间,对于儿童的最佳发育和亲子关系的建立至关重要。然而,目前在澳大利亚,孩子被长期收治到新生儿重症监护室或特殊护理病房的照顾者无权获得任何额外的育儿假补贴。我们建议修改澳大利亚《带薪育儿假法案》,允许主要照顾者在孩子住院期间(住院超过2周的婴儿),每周获得1周额外的育儿假补贴,最高可达14周。对于这些婴儿的父亲和伴侣,我们建议额外增加2周的父亲和伴侣补贴。考虑到可能带来的生产力效益,净成本将低于该计划当前成本的1.5%,并将改善婴儿、家庭和社会的健康及社会经济状况。

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