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Comparing Children's Hospitals With Fortune 500 Companies

Anita H. Weiss, MD, FAAP; Elisa J. Gordon, MA; Mary E. O'Connor, MD, MPH, FAAP

Arch Pediatr Adolesc Med. 1998;152:629-633.

Objective  To identify parental leave policies and availability of support systems for new parents employed by children's hospitals and compare these benefits with those offered by Fortune 500 companies.

Design  Telephone or facsimile survey of all (n=118) children's hospitals and pediatric medical centers in the National Association of Children's Hospitals and Related Institutions 1995 Directory of Members, and 118 geographically matched Fortune 500 companies. Policies for maternity and paternity leave, adoption benefits, and support services for new parents were compared.

Results  Ninety-four children's hospitals (80%) and 82 Fortune 500 companies (69%) responded to the survey. No difference in duration of maternity (P>.30) or paternity (P=.12) leave was found. Sixty-two companies (77%) classified maternity leave as short-term disability while 47 hospitals (50%) classified it as sick time (P<.005). Classifying maternity leave as short-term disability generally gives better benefits to employees with short duration of service, whereas classifying maternity leave as sick time usually favors employees with longer employment. Companies provided more financial support for adoption expenses (P<.05), but there was no difference in duration of paid or unpaid leave for adoption (P=.14). Hospitals provided more on-site day care (69% vs 42%; P<.001) and better support systems for breast-feeding mothers (49% vs 24%; P<.002).

Conclusions  Children's hospitals do not offer better parental leave benefits than Fortune 500 companies; however, they offer better support systems for parents returning to work after the birth of a child.

From the Departments of Pediatrics (Drs Weiss and O'Connor and Ms Gordon) and Anthropology (Ms Gordon), the Division of Pediatric Pharmacology and Critical Care, Center for Biomedical Ethics (Dr Weiss), and the Division of General Academic Pediatrics (Dr O'Connor), Case Western Reserve University, Cleveland, Ohio.

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