Doing ‘whatever they can imagine’: social task shifting in directly funded home care

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  • 1 University of Manitoba, Canada
  • | 2 Mount Saint Vincent University, Canada
  • | 3 St. Francis Xavier University, Canada
  • | 4 University of British Columbia, Canada
  • | 5 McMaster University, Canada
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Directly funded home care provides funds to individuals to arrange their own services. We ask, what is unique about being a directly funded home care worker? Our qualitative case study in Manitoba, Canada, included an online survey of 95 directly funded workers and interviews with 13 key informants, 24 clients and/or family managers, and 23 workers. Framed by feminist and disability care theories, we found ‘social task shifting’, that is: work that keeps households running and supports socialising; front-line worker involvement in care administration; and blurred relationships. Some directly funded workers are empowered by social task shifting, though the expectations can feel limitless.

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  • 1 University of Manitoba, Canada
  • | 2 Mount Saint Vincent University, Canada
  • | 3 St. Francis Xavier University, Canada
  • | 4 University of British Columbia, Canada
  • | 5 McMaster University, Canada

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