The more trust, the fewer transaction costs - searching for a new management perspective to help solve the challenge of ever rising health care costs

Based on reflection of elements of theories of social capital, institutional economics, presence and prosocial motivation, the authors are developing a conceptual model to reduce costs in health care leading to the hypothesis : more trust leads to fewer transaction costs. Furthermore, a case study in a new form of cooperation within a new to construct hospital is presented in order to explore the hypothesis