[영문]Objective. Although smoke-free hospital campuses can provide a strong healthmessage and protect patients, they are few in number due to employee retentionand public relations concerns. We evaluated the effects of implementinga clean air policy on employee attitudes, recruitment, and retention; hospitalutilization; and consumer satisfaction in 2003 through 2005.Methods. We conducted research at a university hospital campus withsupplemental data from an affiliated hospital campus. Our evaluation included(1) measurement of employee attitudes during the year before and year afterpolicy implementation using a cross-sectional, anonymous survey; (2) focusgroup discussions held with supervisors and security personnel; and (3) keyinformant interviews conducted with administrators. Secondary analysisincluded review of employment records and exit interviews, and monitoring ofhospital utilization and patient satisfaction data.Results. Employee attitudes toward the policy were supportive (83.3%) at bothinstitutions and increased significantly (89.8%) at post-test at the university hospitalcampus. Qualitatively, administrator and supervisor attitudes were similarlyfavorable. There was no evidence on either campus of an increase in employeeseparations or a decrease in new hiring after the policy was implemented. Onneither campus was there a change in bed occupancy or mean daily census.Standard measures of consumer satisfaction were also unchanged at both sites.Conclusion. A campus-wide smoke-free policy had no detrimental effect onmeasures of employee or consumer attitudes or behaviors.