Relationship between selected hospital characteristics and the likelihood of restricting smoking beyond the requirements of the JCAHO smoking ban standard
Hospital characteristic | Total number of hospitals | % Exceeding standard | Odds ratio (95% CI) |
---|---|---|---|
Located in a non-tobacco-growing state | 759 | 49.0 | 2.94 (2.14–4.05) |
Located in metropolitan statistical area | 694 | 45.5 | 1.41 (1.08–1.85) |
No moderate-to-severe barriers to policy implementation | 485 | 43.9 | 1.08 (0.85–1.39) |
Employees moderately to very involved in one or more of first 4 planning activities | 705 | 43.1 | 1.04 (0.79–1.36) |
Type of ownership | |||
Not-for-profit | 593 | 55.6 | Referent |
State/local government | 192 | 43.2 | 0.96 (0.69–1.33) |
For profit | 200 | 40.0 | 0.84 (0.60–1.16) |
Federal government | 29 | 31.0 | 0.56 (0.25–1.26) |
Type of hospital | |||
Children’s hospital | 18 | 94.4 | Referent |
General hospital | 851 | 40.9 | 0.04 (0.005–0.31) |
Psychiatric and chemical/alcohol dependency | 93 | 49.5 | 0.06 (0.007–0.45) |
Other specialty | 52 | 46.1 | 0.05 (0.006–0.41) |
Less than 100 beds | 308 | 52.0 | 1.74 (1.32–2.29) |
Psychiatric unit | |||
No unit in hospital | 504 | 46.2 | Referent |
Unit with same policy as hospital | 242 | 57.8 | 1.60 (1.17–2.18) |
Unit with less restrictive policy | 222 | 21.2 | 0.31 (0.22–0.45) |
No dedicated psychiatric beds | 550 | 46.2 | 1.40 (1.08–1.82) |
Substance abuse unit | |||
No unit in hospital | 634 | 44.5 | Referent |
Unit with same policy as hospital | 184 | 56.5 | 1.62 (1.17–2.26) |
Unit with less restrictive policy | 141 | 20.6 | 0.32 (0.21–0.50) |
No dedicated alcohol/chemical dependency beds | 764 | 44.1 | 1.33 (0.96–1.85) |
Cancer programme approved by American College of Surgeons | 252 | 42.5 | 0.98 (0.73–1.30) |
Affiliation with an LCME-accredited medical school | 212 | 43.4 | 1.03 (0.76–1.39) |
Hospital has unionised employees | 240 | 53.3 | 1.74 (1.30–2.33) |
Hospital programmes | |||
Community health promotion | 789 | 42.4 | 0.94 (0.67–1.32) |
Chronic obstructive pulmonary disease services | 652 | 43.1 | 1.05 (0.80–1.38) |
Fitness centre | 236 | 43.6 | 1.05 (0.78–1.41) |
Patient education programme | 861 | 43.3 | 1.29 (0.83–2.00) |
Worksite health promotion | 637 | 43.1 | 1.04 (0.79–1.36) |
Medical or dental residency | 219 | 46.1 | 1.18 (0.88–1.60) |
Psychiatry services available | |||
Child psychiatric services | 321 | 42.1 | 0.96 (0.73–1.26) |
Consulting | 488 | 41.6 | 0.91 (0.70–1.18) |
Education | 350 | 41.1 | 0.90 (0.69–1.18) |
Emergency | 520 | 41.7 | 0.92 (0.71–1.18) |
Geriatric | 377 | 40.6 | 0.86 (0.66–1.13) |
Outpatient | 373 | 42.6 | 0.99 (0.76–1.29) |
Subsidiary unit | 15 | 20.0 | 0.33 (0.09–1.18) |
3–7 psychiatry services (vs 0–2) | 395 | 40.2 | 0.84 (0.65–1.09) |
JCAHO = Joint Commission on Accreditation of Healthcare Organizations; LCME = Liaison Committee on Medical Education; CI = confidence interval.