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Neuroeconomics and Patient-centred Healthcare


Torben Larsen

Odense Sv, Denmark, DK
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Introduction and Objective: Patient-centred medical care implies an asymmetrical level of knowledge between Therapist and patient. Neuroeconomics presents a common knowledge base linking neurology, psychology and economics focusing on how ordinary healthy people make decisions about their daily economic life.

A review-based neuroeconomic model (NeM) forms the base of this study that aims to specify the relevance for integrated homecare as an update to the EU-FP7-Homecare 222954 [1].

Method and Materials: In contrast to the classical neurological dualism, an integrated function of the Limbic (ANS) and Neocortical (Cognition) parts of the central nervous system is advanced following the triune conception by McLean. Neuroeconomics documents unity by simple economic sharing choices as studied in the Ultimatum Game (UG). Complex choices as Intertemporal choices (IC) show a second minority pattern with weaker cognition and stronger autonomic arousal. Explorative choices (EC) activating imagination show a third pattern of both weaker cognition and weaker autonomic arousal (ANS). In all, Risk-willingness is identified as a basal parameter of economic decision-making in NeM.

Results: 1. Empirical studies demonstrate a significant autonomic relaxation during classical mantra-meditation eg. a significant rise of Galvanic Skin Resistance (GSR). Long-term effects (3+ months) of regular practice are significant reduction of

Blood cortisol [2]

Fear- responses [3]

Blood Pressure [4]

NeM explains these effects by improved integration of ANS and Cognition.

2. A statistical correlation study relates Risk-willingness to the psychological “Big Five Taxonomy” on a scale from negative to positive [5]:


     (--)(-)    (-+) (+)  (++)

Biological properties determine poles while the center is sensitive to parenting/education/experience. So, the Open-minded becomes a key person in both formation of social norms and innovative R&D-teams.

3. NeM supports Early-Home Supported Discharge (EHSD). Blood Pressure declines 5 mmHg moving a patient from the hospital to his domicile. NeM explains the related findings of better recovery at home by better mental integration.

Conclusions: Neuroeconomics documenting the unity of the brain with Risk-willingness as a basal behavioral parameter (NeM), explains:

-The action-mechanism of de-stressing by meditative in-depth-relaxation

-Correlation with the “Big Five Taxonomy” to a sensitivity training Heuristic

-The special recovery effect of EHSD as improved integration by deeper relaxation

Implications for applicability: Preventive meditative in-depth-relaxation involves strong feelings in the introduction phase. Preventive care can improve effectiveness including meditative in-depth-relaxation in programs of integrated homecare.

The “Big Five Taxonomy” is crucial to collaborative relations. Neuroeconomic training in sensitivity to the “Big Five” is recommended for training of integrated home care teams.



1. Larsen T (2019). Neuroeconomic Psychology -3 Cognitive Training Modules for End-users.


2. Maclean CA (1997). Effects of TM:

    Changes in hormone levels and responses to stress after 4 months. Psychoneuroendocrine; 22(4):277-95. 

3. Manzoni GM et al. (2008). Relaxation training for anxiety: a ten-years systematic review with meta-analysis. BMC Psychiatry; 8:41.

4. Schneider RH, Aleksander CN, Wallace RK (1995). Stress Reduction for Hypertension in Blacks.

    AHA 26(5):820-27.

5. Becker A, Decker T, Dohmen T et al. (2012). The Relationship between Economic Preferences and

    Psychological Personality Measures. Annu Rev Econ 4:453-78. 

How to Cite: Larsen T. Neuroeconomics and Patient-centred Healthcare. International Journal of Integrated Care. 2022;22(S3):9. DOI:
Published on 04 Nov 2022.


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