符合国家无烟医院标准的决定因素
A M Joseph1, J M Knapp, K L Nichol
1Department of Medicine, Veterans Affairs Medical Center, Minneapolis, MN 55417, USA.
JAMA
|August 9, 1995
概括
大多数医院都遵守卫生保健机构认证联合委员会 (JCAHO) 的无烟政策. 行政支持和戒烟服务预测了收养,而精神病床阻碍了它.
科学领域:
- 医疗保健政策 医疗保健政策
- 公共卫生 公共卫生
- 医院管理局 医院管理局
背景情况:
- 卫生保健机构认证联合委员会 (JCAHO) 引入了一项国家标准,要求急性护理医院无烟.
- 了解遵守率和影响采用无烟政策的因素对于公共卫生倡议至关重要.
研究的目的:
- 评估符合JCAHO无烟医院标准的程度.
- 确定与成功实施无烟医院政策相关的预测因素.
主要方法:
- 对1278家JCAHO认可的急症护理医院进行了全国性调查.
- 使用多重物流回归的预测模型被开发出来,以分析影响政策采用的因素.
- 排除包括军事,VA,IHS,精神病,药物滥用和儿童医院.
主要成果:
- 在标准引入16个月后,观察到65%的合规率.
- 行政支持 (OR,7.82) 和住院戒烟服务 (OR,1.24) 对政策实施进行了积极预测.
- 更高的精神病 (OR,0.57) 和药物滥用治疗床位 (OR,0.17) 的数量与合规性有负相关性.
结论:
- 大多数急症医院都采用了JCAHO的无烟政策.
- 该政策通常受到患者和工作人员的好评.
- 应对与特殊患者群体相关的挑战,例如精神病患者,对于实现全面的无烟环境至关重要.
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