Garcia John
Professor of Practice, Associate Director, Professional Graduate Programs, School of Public Health and Health Systems, University of Waterloo, Waterloo, ON.
Healthc Pap. 2017;16(3):13-18. doi: 10.12927/hcpap.2017.25085.
Comprehensive tobacco control is considered by many to be a model for effective population health promotion and chronic disease prevention. Its history holds lessons for the "scalable, actionable, innovation agenda" called for by Anne Snowdon (2017). This commentary discusses lessons from tobacco control related to: changing practices in response to evolving paradigms and scientific evidence; international best practices; the importance of a broadly-accepted, shared vision about elements of an effective strategy; scientific and public service leadership; social actors leading change through advocacy, policy and the media; organizational learning mechanisms and capacity building systems; and, the importance of a continuously renewing, forward-looking agenda. The end-game for tobacco forms part of Canada's health innovation agenda and lessons from tobacco control may inform this important forward-looking strategy.
许多人认为全面控烟是有效促进人群健康和预防慢性病的典范。其历史为安妮·斯诺登（2017年）所倡导的“可扩展、可操作的创新议程”提供了经验教训。本评论探讨了控烟方面的经验教训，涉及：根据不断演变的范式和科学证据改变做法；国际最佳实践；对有效战略要素形成广泛接受的共同愿景的重要性；科学和公共服务领导力；社会行为者通过宣传、政策和媒体引领变革；组织学习机制和能力建设系统；以及持续更新、前瞻性议程的重要性。烟草控制的最终目标是加拿大健康创新议程的一部分，控烟的经验教训可能为这一重要的前瞻性战略提供参考。
