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JAMA. 1995 Aug 9;274(6):488-91.

Smoking bans in US hospitals. Results of a national survey.

Author information

1
Department of Family and Community Medicine, University of Missouri-Columbia School of Medicine, USA.

Abstract

OBJECTIVE:

To examine compliance and characteristics of hospitals with tobacco control standards enacted by the Joint Commission of 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.

PMID:
7629959
[Indexed for MEDLINE]

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