Smoking bans in US hospitals : results of a national survey.
- To examine compliance and characteristics of hospitals with tobacco control standards enacted by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
Design and Setting
- On-site national survey of hospitals as part of routine JCAHO accreditation visits.
- A total of 3327 US hospitals received site visits in 1992 and 1993 and were matched with American Hospital Association Annual Survey of Hospitals data.
Main Outcome Measures
- Compliance or noncompliance with tobacco control standards ; location in a tobacco-producing state ; and organizational characteristics, including provision of psychiatric/alcohol-chemical dependency services.
- Two years after implementation, 95.6% of hospitals met the new JCAHO smoking ban standard ; 90.9% of hospitals were in compliance with a second smoking standard requiring development and use of medical criteria for physician-ordered exceptions to the ban.
Hospitals in tobacco-producing states had higher-than-average rates of compliance when compared with hospitals in other states.
Hospitals providing psychiatric and/or substance abuse services had lower-than-average rates of compliance.
- This first industry-wide smoking ban has been successful.
However, hospitals should consider evaluating the use of medical exceptions to this policy.
Mots-clés Pascal : Tabagisme, Hôpital, Epidémiologie, Homme
Mots-clés Pascal anglais : Tobacco smoking, Hospital, Epidemiology, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0500073
Code Inist : 002B30A05. Création : 01/03/1996.