Table 3.

Factors Related to Physician Knowledge About Whether a Local Community-acquired Pneumonia Guideline Existed

Hospital and Physician Characteristics*	Total N	Not Accurate†	Accurate†	Bivariate P Value	Multiple Stepwise Odds Ratio (95% CI)‡
Hospital characteristics
Hospital size, %				.32
Small (<200 beds)	2	0	100
Medium (200–500 beds)	236	56	44
Large (>500 beds)	83	63	37
Teaching status, %				.04	–
Teaching	218	61	39
Nonteaching	103	50	50
Physician characteristics
Specialty, %				.35
Generalist	251	57	43
Pulmonary or ID specialist	28	50	50
Other specialist	42	67	33
Direct inpatient care, h/wk ± SD	314	14.4 ± 14.3	16.5 ± 14.5	.04	–
Direct outpatient care, h/wk ± SD	315	28.5 ± 14.5	29.3 ± 15.5	.83
Total nonpatient activities, h/wk ± SD	287	11.5 ± 11.7	12.8 ± 14.6	.66
Percent of total time on inpatient care ± SD	303	25.0 ± 22.6	27.8 ± 21.7	.06	–
Total work, h/wk ± SD	305	55.2 ± 12.7	57.9 ± 13.2	.06	1.01* (1.00 to 1.02)
Number of CAP inpatients per year ± SD	315	18.4 ± 25.4	25.3 ± 32.3	.02	–
Journal reading, %				.82
Do not read or skim articles	158	58	42
Read ≥1 article in most issues	158	57	43
Quality assurance hours, %				.22
<1 h per month	188	54	46
≥1 h per month	131	62	38
Intellect personality score (0–4 = high) ± SD	288	2.81 ± 0.56	2.86 ± 0.50	.51
Attitudes about guidelines (0–40 = pos) ± SD	312	17.0 ± 5.09	17.9 ± 4.63	.09	1.06** (1.01 to 1.11)
Risk avoidance (0–4 = high) ± SD	314	3.62 ± 0.85	3.81 ± 0.80	.06	1.29* (0.96 to 1.72)

^*Gender, age, years since graduation from medical school, university hospital affiliation, percent of income from salary, total patient care (h/wk), continuing medical education hours per month, and personality trait “agreeable” were not significantly related to awareness and use of guidelines or any of the other guideline outcomes presented in Tables 1 and 2–4.

^†Percentages are calculated within each row.

^‡*P value < .10 but ≥ .05,

^**P value < .05 but ≥ .01,

^***P value < .01.

CAP, community-acquired pneumonia.