Table 4.

Factors Related to Self-reported Use of Local Community-acquired Pneumonia Guidelines

Hospital and Physician Characteristics*	Total N	Use Local Guidelines for ≤50% of CAP Patients†	Use Local Guidelines for >50% of CAP Patients†	Bivariate P Value	Multiple Stepwise Odds Ratio (95% CI)‡
Hospital characteristics
Hospital size, %				.28
Small (<200 beds)	1	0	100
Medium (200−500 beds)	82	70	30
Large (>500 beds)	27	74	26
Teaching status, %				.68
Teaching	77	69	31
Nonteaching	33	73	27
Physician characteristics
Specialty, %				.02
Generalist	85	64	36		1.00
Pulmonary or ID specialist	13	92	8		0.10** (0.01 to 0.89)
Other specialist	12	92	8		0.11* (0.01 to 1.07)
Direct inpatient care, h/wk ± SD	106	17.4 ± 14.7	16.5 ± 14.7	.93
Direct outpatient care, h/wk ± SD	107	27.9 ± 16.6	31.8 ± 13.2	.18
Total nonpatient activities, h/wk ± SD	97	12.5 ± 14.7	13.5 ± 12.9	.43
Percent of total time on inpatient care ± SD	101	29.9 ± 23.4	26.7 ± 20.0	.73
Total work, h/wk ± SD	101	58.3 ± 12.3	58.3 ± 13.2	.95
Number of CAP inpatients per year ± SD	108	24.7 ± 29.7	26.1 ± 33.1	.53
Journal reading, %				.59
Do not read or skim articles	55	73	27
Read ≥1 article in most issues	52	68	32
Quality assurance hours, %				.67
<1 h per month	70	71	29
≥1 h per month	40	68	32
Intellect personality score (0–4 = high) ± SD	96	2.83 ± 0.52	3.02 ± 0.46	.09	–
Attitudes about guidelines (0–40 = pos) ± SD	108	16.9 ± 4.7	20.5 ± 3.6	<.001	1.29*** (1.09 to 1.47)
Risk avoidance (0–4 = high) ± SD	106	3.78 ± 0.80	3.85 ± 0.76	.67

^*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 1–4.

^†Percentages are calculated within each row.

^‡*P value < .10 but ≥ .05,

^**P value < .05 but ≥ .01,

^***P value < .01.

CAP, community-acquired pneumonia.