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  1. Smoking bans in US hospitals : results of a national survey.

    Article - En anglais

    Objective

    - 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.

    Participants

    - 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.

    Results

    - 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.

    Conclusion

    - 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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0500073

    Code Inist : 002B30A05. Création : 01/03/1996.