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Self-efficacy in health functioning

from Psychology, health and illness

Published online by Cambridge University Press:  18 December 2014

Albert Bandura
Affiliation:
Stanford University
Susan Ayers
Affiliation:
University of Sussex
Andrew Baum
Affiliation:
University of Pittsburgh
Chris McManus
Affiliation:
St Mary's Hospital Medical School
Stanton Newman
Affiliation:
University College and Middlesex School of Medicine
Kenneth Wallston
Affiliation:
Vanderbilt University School of Nursing
John Weinman
Affiliation:
United Medical and Dental Schools of Guy's and St Thomas's
Robert West
Affiliation:
St George's Hospital Medical School, University of London
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Summary

We are witnessing a divergent trend in the field of health. On the one hand, we are pouring massive resources into medicalizing the ravages of detrimental health habits. On the other hand, the conception of health is shifting from a disease model to a health model. It emphasizes health promotion rather than disease management.

Health promotion should begin with goals not means. If health is the goal, biomedical interventions are not the only means to it. The quality of health is heavily influenced by lifestyle habits. This enables people to exercise some control over their health. To stay healthy, people should exercise, reduce dietary fat, refrain from smoking, keep blood pressure down and develop effective ways of managing stressors. By managing their health habits, people can live longer, healthier and retard the process of ageing. Self-management is good medicine. If the huge benefits of these few habits were put into a pill it would be declared a scientific milestone in the field of medicine.

Current health practices focus heavily on the medical supply side. The growing pressure on health systems is to reduce, ration and curtail health services to contain escalating health costs. The days for the supply side health system are limited. People are living longer. This creates more time for minor dysfunctions to develop into chronic diseases requiring costly treatments.

Social cognitive approaches focus on the demand side. They promote effective self-management of health habits that will keep people healthy through their life span.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2007

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References

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