Abstract

Pro-social behaviours in the health system range from voluntary (unpaid) <em>time</em> donations supporting health and social care services, to <em>monetary</em> donations funding medical research, to <em>biological material</em> donations such as blood transfusions and organ transplants, among other types of donation. Without these pro-social behaviours, health systems would face chronic shortages and operational challenges. Hence, an important question for policy design is how we stimulate such pro-social behaviours? We argue that although pro-social behaviours are motivated by altruism and ‘benevolent rewards’, governments can indeed encourage them by designing ‘compatible incentives’, by removing ‘disruptive constraints’, or through a combination of both. We illustrate our argument with examples of several pro-social behaviours, including the donation of human tissues, fluids and organs; monetary donations to health-related causes; as well as volunteering in health-related settings (the donation of time). We further address how these interventions interact with health care donors’ behavioural attitudes, including altruism and empathy.

Highlights

  • 3.3 Altruism budget One of the concerns of those studying pro-social behaviour is whether the individuals have a fixed amount of altruism, or an ‘altruism budget’ [26]. This means that an increase in an individual performing one type of pro-social behaviour reduces the likelihood of their performing another type of pro-social behaviour

  • 6.1 Blood donation First, the use of new designs involving monetary equivalent rewards, such as a health checks or health information, may prove an adequate ‘compatible incentive’ with other self-interest goals, among younger donors, for whom such information can help them engage in preventive activities [35]

  • Pro-social behaviours are central to the well-functioning of a health system

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Summary

Introduction

Incentives can include any policy instrument that can change the reward offered to a donor for acting pro-socially or benevolently. We discuss the selected evidence concerning health-related pro-social behaviours, focussing on the donation of human tissue, fluids and organs; monetary donations to health-related causes and volunteering in healthrelated settings. 8 There are numerous other examples of general and specific constraints on pro-social behaviour in health, ranging from organisational and management practices, to family involvement or lack of it, to transport costs, to inconvenience in a monetary donation process.

Results
Conclusion
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