Changing preferences: An experiment and estimation of market-incentive effects on altruism

IF 3.4 2区 经济学 Q1 ECONOMICS Journal of Health Economics Pub Date : 2023-09-20 DOI:10.1016/j.jhealeco.2023.102808
Undral Byambadalai , Ching-to Albert Ma , Daniel Wiesen
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引用次数: 3

Abstract

This paper studies how altruistic preferences are changed by markets and incentives. We conduct a laboratory experiment with a within-subject design. Subjects are asked to choose health care qualities for hypothetical patients in monopoly, duopoly, and quadropoly. Prices, costs, and patient benefits are experimental incentive parameters. In monopoly, subjects choose quality by trading off between profits and altruistic patient benefits. In duopoly and quadropoly, subjects play a simultaneous-move game. Uncertain about an opponent’s altruism, each subject competes for patients by choosing qualities. Bayes-Nash equilibria describe subjects’ quality decisions as functions of altruism. Using a nonparametric method, we estimate the population altruism distributions from Bayes-Nash equilibrium qualities in different markets and incentive configurations. Competition tends to reduce altruism, but duopoly and quadropoly equilibrium qualities are much higher than monopoly. Although markets crowd out altruism, the disciplinary powers of market competition are stronger. Counterfactuals confirm markets change preferences.

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偏好变化:市场激励对利他主义影响的实验和估计。
本文研究了利他主义偏好是如何被市场和激励所改变的。我们进行了一个受试者内部设计的实验室实验。受试者被要求为垄断、双寡头和四寡头的假设患者选择医疗保健质量。价格、成本和患者福利是实验性的激励参数。在垄断中,受试者通过在利润和无私的患者利益之间进行权衡来选择质量。在双头和四边形游戏中,受试者同时进行移动游戏。由于不确定对手的利他主义,每个受试者都通过选择品质来争夺患者。贝叶斯-纳什均衡将受试者的质量决策描述为利他主义的函数。使用非参数方法,我们从不同市场和激励配置下的贝叶斯-纳什均衡质量估计了人口利他主义分布。竞争往往会减少利他主义,但双头垄断和四元均衡的品质远高于垄断。尽管市场排挤了利他主义,但市场竞争的纪律力量更强。事实证明市场会改变偏好。
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来源期刊
Journal of Health Economics
Journal of Health Economics 医学-卫生保健
CiteScore
6.10
自引率
2.90%
发文量
96
审稿时长
49 days
期刊介绍: This journal seeks articles related to the economics of health and medical care. Its scope will include the following topics: Production and supply of health services; Demand and utilization of health services; Financing of health services; Determinants of health, including investments in health and risky health behaviors; Economic consequences of ill-health; Behavioral models of demanders, suppliers and other health care agencies; Evaluation of policy interventions that yield economic insights; Efficiency and distributional aspects of health policy; and such other topics as the Editors may deem appropriate.
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