An actor-network theory analysis of policy innovation for smoke-free places: understanding change in complex systems.
Complex, transnational issues like the tobacco epidemic are major challenges that defy analysis and management by conventional methods, as are other public health issues, such as those associated with global food distribution and climate change. We examined the evolution of indoor smoke-free regulations, a tobacco control policy innovation, and identified the key attributes of those jurisdictions that successfully pursued this innovation and those that to date have not. In doing so, we employed the actor-network theory, a comprehensive framework for the analysis of fundamental system change. Through our analysis, we identified approaches to help overcome some systemic barriers to the solution of the tobacco problem and comment on other complex transnational problems.
Young
David
D
VicHealth Centre for Tobacco Control, Cancer Council Victoria, Carlton, Australia. david.young@cancervic.org.au
Borland
Ron
R
Coghill
Ken
K
D004059:Diffusion of Innovation; D006291:Health Policy / Q000331:legislation & jurisprudence*; D006801:Humans; D016540:Smoking Cessation / Q000331:legislation & jurisprudence; D011049:Social Control Policies; D013598:Systems Theory; D014028:Tobacco Smoke Pollution / Q000331:legislation & jurisprudence / Q000517:prevention & control*
D014028:Tobacco Smoke Pollution
Lancet. 1983 Dec 17;2(8364):1425-6
6140528
Health Aff (Millwood). 1996 Spring;15(1):58-72
8920569
Tob Control. 2004 Dec;13(4):454-5
15564637
JAMA. 2007 Jan 24;297(4):403-6
17244837
J Epidemiol Community Health. 1995 Apr;49(2):139-43
7798040
Patient Educ Couns. 2008 Jun;71(3):319-27
18403175
Tob Control. 2006 Dec;15 Suppl 4:iv68-76
17130626
Annu Rev Public Health. 2007;28:69-93
17222078
Annu Rev Public Health. 2009;30:151-74
19705558
Am J Public Health. 2006 Mar;96(3):403-5
16449572
J Pediatr Hematol Oncol. 2005 Oct;27(10):543-50
16217258
Sex Transm Dis. 2006 Jul;33(7 Suppl):S23-31
16794552
Soc Sci Med. 2008 Dec;67(11):1679-89
18829147
Tob Control. 2006 Jun;15 Suppl 3:iii42-50
16754946
Lancet. 2007 May 5;369(9572):1507-8
17486698
Tob Induc Dis. 2008 Jul 31;4:3
18822159
Tob Control. 1997 Winter;6(4):346-53
9583639
Health Policy. 2007 Feb;80(2):358-68
16678931
BMJ. 2002 Jul 27;325(7357):188
12142305
Lancet. 2008 Feb 2;371(9610):368-70
18242400
Am J Public Health. 2005 Jun;95(6):1024-9
15914828
Health Econ. 2005 Dec;14(12):1273-81
16145724
Circulation. 1991 Jan;83(1):1-12
1984876
Am J Public Health. 2010 Jul;100(7):1229-36
20466970
Tob Control. 2006 Jun;15 Suppl 3:iii51-8
16754947
Med J Aust. 1989 Nov 6;151(9):525-8
2811726
Am J Public Health. 2006 Mar;96(3):538-46
16449581
Tob Control. 2003 Mar;12(1):13-20
12612356