Den barmhärtige ekonomiten - Effektivitets och rättviseaspekter på altruism och hälsa
2005 (Swedish)Doctoral thesis, monograph (Other academic)
To what extent people only act on basis of their own interests is a question that has been subject to extensive discussion during many years. The economic standard model takes as its starting point that people are only interested in their own welfare. The aim of this dissertation is to analyse the term altruism from a multidisciplinary perspective. It is also to study whether people's health-oriented and pure altruism is related to needs and to study whether altruistic preferences are paternalistically health-oriented. The fmal aim is to study and discuss the motives, existence and characteristics of the altruistic preferences and their importance in health economic analyses.
This dissertation takes a literary survey, mainly related to economics, philosophy, medicine and psychology as its starting point. The concepts of efficiency, health, fairness and altruism play a main part in the description of the theoretical background. Studies of altruism within the health care sector are scarce. Against this background, three empirical studies are carried out and presented. Two methods (dictator games and willingness to pay) have been modified and used.
The empirical studies carried out and the surveys of the literature show altruism to exist both in connection with other people's health and more in general. The existence of altruism and the strength of the altruistic preferences are very dependent on the situation. In more serious health states, most people seem to be altruistic and then, they also want to renounce a relatively large part of their own resources. The results indicate that altruism is related to needs and is paternalistically health-oriented. These results also indicate that the economic standard model ought to be completed with altruistic preferences in order to create an efficient allocation of resources within health care. Altruistic preferences might also contribute to a resource allocation considered as more fair by the citizens of the society.
Place, publisher, year, edition, pages
Linköping: Linköpings universitet , 2005. , 202 p.
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 309Linköping Dissertations on Health and Society, ISSN 1651-1646 ; 6
Altruism, paternalism, health, health economic evaluation, efficiency, equity, bargaining
Altruism, paternalism, hälsa, hälsoekonomiska utvärderingar, effektivitet, rättvisa, spelteori
IdentifiersURN: urn:nbn:se:liu:diva-31791Local ID: 17615ISBN: 91-85297-56-9OAI: oai:DiVA.org:liu-31791DiVA: diva2:252614
2005-03-18, Aulan, Hus 240, Campus US, Linköpings Universitet, Linköping, 10:00 (Swedish)
Borgquist, Lars, Professor