When hidden politics become visible: Administrative burden experiences of older adults and professionals in home care

Abstract

In the context of constraining services and support within public home care, this contribution analyses how older adults and home care workers experience and navigate administrative burdens. Relying on focus groups, interviews, and a survey conducted in the province of Québec (Canada), we demonstrate that older adults face an increasing number of administrative burdens designed to alter, delay, and restrict access to public services while homecare workers experience a loss of discretion in their practice due to the introduction of administrative requirements with dubious purposes. As such, administrative burdens play a vital role in the hidden politics of the welfare state and contribute to foster cynicism and a loss of faith in essential public services.