IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0213104.html
   My bibliography  Save this article

Altruistic decisions are influenced by the allocation of monetary incentives in a pain-sharing game

Author

Listed:
  • Ye-Seul Lee
  • Hyun-Seo Song
  • Hackjin Kim
  • Younbyoung Chae

Abstract

Background: Altruistic behavior is essential to the sustainability of society, but our current understanding of its underlying motivation is limited. In addition to the intrinsic motives to help others, based on empathy, extrinsic motives such as monetary incentives and social reputation influence prosociality. The purpose of this study was to examine the underlying motivations of prosocial behavior under constant or increasing extrinsic motivation settings. Methods: An experimental task, Altruistic Pain Sharing, was developed in which the participants were asked to share the other participants’ pain. In the session with monetary incentives, the incentives were given either constantly (CONSTANT condition) or proportionally (INCREASING condition), to the amount of shared pain. In addition, monetary incentives were not provided in the NO session. The participants experienced different amounts of mechanical pain at the beginning of the task and chose the number of pain stimulations to share, based on their experiences. Results: Compared to the NO session, the INCREASING session exhibited a rise in the mean of shared pain, but not the CONSTANT session. Furthermore, there was a distinct tendency to receive less pain than the other participant in the CONSTANT session, and a tendency to receive more pain than the other participant in the INCREASING session. Conclusion: Prosocial behavior was influenced by the presence, as well as the form, of the extrinsic monetary incentives. Our study shows that rewards incentivize individuals to demonstrate a higher level of prosocial behavior, implying that prosocial behavior is itself a mixture of intrinsic and extrinsic motivations, and that an effectively designed rewards system may function to enhance prosocial behavior.

Suggested Citation

  • Ye-Seul Lee & Hyun-Seo Song & Hackjin Kim & Younbyoung Chae, 2019. "Altruistic decisions are influenced by the allocation of monetary incentives in a pain-sharing game," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-16, March.
    • Handle: RePEc:plo:pone00:0213104
    DOI: 10.1371/journal.pone.0213104
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213104
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0213104&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0213104?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Aviva Aron-Dine & Liran Einav & Amy Finkelstein & Mark Cullen, 2015. "Moral Hazard in Health Insurance: Do Dynamic Incentives Matter?," The Review of Economics and Statistics, MIT Press, vol. 97(4), pages 725-741, October.
    2. Li, Jing & Dow, William H & Kariv, Shachar, 2017. "Social preferences of future physicians," Department of Economics, Working Paper Series qt5vw9g5tj, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
    3. Moritz Hetzer & Didier Sornette, 2013. "An Evolutionary Model of Cooperation, Fairness and Altruistic Punishment in Public Good Games," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-13, November.
    4. Ernst Fehr & Klaus M. Schmidt, 2004. "Fairness and Incentives in a Multi‐task Principal–Agent Model," Scandinavian Journal of Economics, Wiley Blackwell, vol. 106(3), pages 453-474, October.
    5. Jeffrey Clemens & Joshua D. Gottlieb, 2014. "Do Physicians' Financial Incentives Affect Medical Treatment and Patient Health?," American Economic Review, American Economic Association, vol. 104(4), pages 1320-1349, April.
    6. Rene Bekkers, 2007. "Measuring altruistic behavior in surveys: The all-or-nothing dictator game," Artefactual Field Experiments 00102, The Field Experiments Website.
    7. Hennig-Schmidt, Heike & Wiesen, Daniel, 2014. "Other-regarding behavior and motivation in health care provision: An experiment with medical and non-medical students," Social Science & Medicine, Elsevier, vol. 108(C), pages 156-165.
    8. Allard, Marie & Jelovac, Izabela & Léger, Pierre Thomas, 2011. "Treatment and referral decisions under different physician payment mechanisms," Journal of Health Economics, Elsevier, vol. 30(5), pages 880-893.
    9. Brañas-Garza, Pablo & Capraro, Valerio & Rascón-Ramírez, Ericka, 2018. "Gender differences in altruism on Mechanical Turk: Expectations and actual behaviour," Economics Letters, Elsevier, vol. 170(C), pages 19-23.
    10. Nicholas D Wright & Mkael Symmonds & Laurel S Morris & Raymond J Dolan, 2013. "Dissociable Influences of Skewness and Valence on Economic Choice and Neural Activity," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-8, December.
    11. repec:cup:judgdm:v:13:y:2018:i:1:p:99-111 is not listed on IDEAS
    12. Ezequiel Gleichgerrcht & Jean Decety, 2013. "Empathy in Clinical Practice: How Individual Dispositions, Gender, and Experience Moderate Empathic Concern, Burnout, and Emotional Distress in Physicians," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-12, April.
    13. Melissa Bateson & Daniel Nettle & Gilbert Roberts, 2006. "Cues of being watched enhance cooperation in a real-world setting," Natural Field Experiments 00214, The Field Experiments Website.
    14. repec:feb:natura:0059 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Cochard, François & Flage, Alexandre, 2024. "Sharing losses in dictator and ultimatum games: A meta-analysis," Journal of Economic Psychology, Elsevier, vol. 102(C).
    2. François Cochard & Alexandre Flage, 2023. "Sharing Losses in Dictator and Ultimatum Games: A Meta-Analysis," Working Papers 2023-09, CRESE.
    3. Ye-Seul Lee & Song-Yi Kim & Younbyoung Chae, 2019. "Distribution of monetary incentives in health insurance scheme influences acupuncture treatment choices: An experimental study," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-12, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Attema, Arthur E. & Galizzi, Matteo M. & Groß, Mona & Hennig-Schmidt, Heike & Karay, Yassin & L’Haridon, Olivier & Wiesen, Daniel, 2023. "The formation of physician altruism," Journal of Health Economics, Elsevier, vol. 87(C).
    2. Ye-Seul Lee & Song-Yi Kim & Younbyoung Chae, 2019. "Distribution of monetary incentives in health insurance scheme influences acupuncture treatment choices: An experimental study," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-12, June.
    3. Wang, Jian & Iversen, Tor & Hennig-Schmidt, Heike & Godager, Geir, 2020. "Are patient-regarding preferences stable? Evidence from a laboratory experiment with physicians and medical students from different countries," European Economic Review, Elsevier, vol. 125(C).
    4. Li, Jing, 2018. "Plastic surgery or primary care? Altruistic preferences and expected specialty choice of U.S. medical students," Journal of Health Economics, Elsevier, vol. 62(C), pages 45-59.
    5. Jeannette Brosig‐Koch & Heike Hennig‐Schmidt & Nadja Kairies‐Schwarz & Daniel Wiesen, 2017. "The Effects of Introducing Mixed Payment Systems for Physicians: Experimental Evidence," Health Economics, John Wiley & Sons, Ltd., vol. 26(2), pages 243-262, February.
    6. Huck, Steffen & Lünser, Gabriele & Spitzer, Florian & Tyran, Jean-Robert, 2016. "Medical insurance and free choice of physician shape patient overtreatment: A laboratory experiment," Journal of Economic Behavior & Organization, Elsevier, vol. 131(PB), pages 78-105.
    7. Cox, James C. & Sadiraj, Vjollca & Schnier, Kurt E. & Sweeney, John F., 2016. "Incentivizing cost-effective reductions in hospital readmission rates," Journal of Economic Behavior & Organization, Elsevier, vol. 131(PB), pages 24-35.
    8. Juliana Bernhofer & Alessandro Fedele & Mirco Tonin, 2022. "Wage Expectations and Access to Healthcare Occupations: Evidence from an Information Experiment," BEMPS - Bozen Economics & Management Paper Series BEMPS95, Faculty of Economics and Management at the Free University of Bozen.
    9. Jeannette Brosig‐Koch & Burkhard Hehenkamp & Johanna Kokot, 2017. "The effects of competition on medical service provision," Health Economics, John Wiley & Sons, Ltd., vol. 26(S3), pages 6-20, December.
    10. Griebenow, Malte, 2023. "Should physicians team up to treat chronic diseases?," Journal of Health Economics, Elsevier, vol. 89(C).
    11. Rigdon, Mary & Ishii, Keiko & Watabe, Motoki & Kitayama, Shinobu, 2009. "Minimal social cues in the dictator game," Journal of Economic Psychology, Elsevier, vol. 30(3), pages 358-367, June.
    12. Chowdhury, Subhasish M. & Jeon, Joo Young & Saha, Bibhas, 2023. "Eye-image as nonverbal social cue has asymmetric gender effects in dictator taking games," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 107(C).
    13. Martin B. Hackmann & R. Vincent Pohl & Nicolas R. Ziebarth, 2024. "Patient versus Provider Incentives in Long-Term Care," American Economic Journal: Applied Economics, American Economic Association, vol. 16(3), pages 178-218, July.
    14. Martin Gaynor & Kate Ho & Robert J. Town, 2015. "The Industrial Organization of Health-Care Markets," Journal of Economic Literature, American Economic Association, vol. 53(2), pages 235-284, June.
    15. Christian Posso & Jorge Tamayo & Arlen Guarin & Estefania Saravia, 2024. "Luck of the Draw: The Causal Effect of Physicians on Birth Outcomes," Borradores de Economia 1269, Banco de la Republica de Colombia.
    16. Clemens, Jeffrey, 2014. "Implications of Physician Ethics, Billing Norms, and Service Cost Structures for Medicare's Fee Schedule," MPRA Paper 73392, University Library of Munich, Germany.
    17. Umer, Hamza, 2020. "Revisiting generosity in the dictator game: Experimental evidence from Pakistan," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 84(C).
    18. Balafoutas, Loukas & Kerschbamer, Rudolf, 2020. "Credence goods in the literature: What the past fifteen years have taught us about fraud, incentives, and the role of institutions," Journal of Behavioral and Experimental Finance, Elsevier, vol. 26(C).
    19. Jeannette Brosig‐Koch & Burkhard Hehenkamp & Johanna Kokot, 2023. "Who benefits from quality competition in health care? A theory and a laboratory experiment on the relevance of patient characteristics," Health Economics, John Wiley & Sons, Ltd., vol. 32(8), pages 1785-1817, August.
    20. Nibene H. Somé & Rose Anne Devlin & Nirav Mehta & Gregory S. Zaric & Sisira Sarma, 2020. "Stirring the pot: Switching from blended fee‐for‐service to blended capitation models of physician remuneration," Health Economics, John Wiley & Sons, Ltd., vol. 29(11), pages 1435-1455, November.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0213104. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.