Informal Home Care in the Digital Transformation: Platform Design and Work Ethics of Care
Abstract
:1. Introduction
How do workers’ ethics of care unfold in platform-mediated care?
2. Background
2.1. Ethics of Care and Self-Exploitation
2.2. State of Research: Informal Eldercare in the Gig Economy
2.3. Informal Care for the Elderly and Its Significance in the German Care System
3. Materials and Methods
- Platform A operates with a subscription model, which does not strongly pre-structure the employment relationship between the care provider and the requester. The focus here is on matching. Wages, form of contract, and other details are optional for the registered persons on the platform;
- Platform B operates with a commission model, which structures the employment relationship more strongly and, for example, specifies the salary and form of contract. An app plays a central role here, in which both the customers and the workers register, and which is used for matching, as well as for documentation and the creation of invoices.
4. Results
4.1. Qualifications and Platform Design
“I don’t need this qualification. I don’t need a nursing degree or the paragraph 45a SGB XI to take care of someone. Because when relatives take care of their patients at home, no one asks about it. […] So it is not credible that on the one hand I need highly qualified degrees and on the other hand I don’t need any at all—a patient is a patient.”(PA3, pos. 175)
“There are also many people who say, ’I took care of my grandparents, I would like to do something like that again.’ So I think we need less the ones who really have a lot of training or further education, but more the ones who just say, ’I can do that too’.”(PA6, pos. 85)
“Nothing, I have to admit. However, I did bring a bit of experience with me because I did it purely privately out of friendship. So I relied on my feeling. And that works wonderfully, because the further training is sometimes so out of touch with reality—so overloaded with theory, in some cases.”(PA5, pos. 11)
“The only thing I think needs to be optimized [at platform B] is actually ensuring basic knowledge. […] That’s missing, and it’s a shame. Because it’s a service I provide. If I provide the service, I also have to be qualified to do so.”(PB9, pos. 37)
4.2. Devaluation of Work
“Because informal care is always rather seen as-, I’ll call it “ridiculous” in quotation marks- [4.2s] Yes, they’re the ones who go out for coffee. They’re the ones who play boardgames. And that’s just not the case!”(PB9, pos. 83)
In other words, it’s delegated from above, which is completely wrong, because the guidelines clearly state in the paragraph that you relieve, yes, relieving in care actually always means that I do something together with the clients so that I can maintain their independence, which is what the paragraph is designed for. We are deployed in home care in order to maintain the client’s independence. That doesn’t apply if I go somewhere and clean the apartment, I’m not maintaining the skills of the person where I’m employed, I’m providing a service at the expense of the care insurance funds, which is not intended at all.(PB9, pos. 11)
4.3. Ethics of Care Among Workers
“What do you think the term is? Empathy. That is the most important thing. Empathy, also in the sense that it includes what I’m calling it now. But being able to put yourself in the person’s shoes, to perceive their needs. Not all people do that, that I perceive their needs from what they do, the person, and not necessarily express them. So that’s fundamental. And then, of course, meeting them.”(PA5, pos. 13)
“You have to have a flair for it. And you know what? I’m from the old school. And it’s like that with so many things! As [we in our region] say: you either have it or you don’t. To come up with further training and learning. It’s limited. If you don’t have that as a person, like I do. That’s not to praise me, it’s an observation. And I can study and everything. That’s the elementary thing, that you have that in your personality, that you have that disposition. Let me put it this way”(PA5, pos. 15)
“And of course the client is not particularly well off financially either. He has had a house built that is suitable for the disabled […] he can’t afford it any other way.”(PA3, pos. 44)
“Well, I do have price details, but if someone comes forward in an emergency situation and simply says: but I don’t have that. I come from the Ruhr area and there they always say: what doesn’t fit, will be made to fit5.”(PA6, pos. 23)
“Then I say: “Come on, I’ll do it for you” and it works. Especially when the family has gone on vacation, I’m sometimes asked: “Here, do you have time?”, or “Do you have plans?” And for me, I take a vacation once a year in one month of the a year. And that’s usually during the summer vacation, the big summer vacation. It’s usually about six weeks and the other vacations I’m just there and I never make any plans. Because I say: “Here, if you need help, I’m there for you.””(PA2, pos. 79)
“For example, you can update your profile to indicate that you are on vacation or whatever, during which time your account will be temporarily blocked.”[PB4, pos 32]
“Also, the compassion for someone who is really in a bad situation, to somehow help them out. And you get an incredible amount in return, which has nothing to do with money anymore. You have to count that too.”(PA3, pos. 183)
5. Discussion and Conclusions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
1 | whereby they are also referred to as care-fix, which means that they rather postpone the problem than solve it conclusively (Dowling 2022), or even as part of the care crisis (Strüver 2021). |
2 | https://www.gesetze-im-internet.de/sgb_11/__45a.html (accessed on 13 February 2025). |
3 | Employment relationships in which employees are recruited from abroad for 24/7 live-in care are deliberately excluded here. |
4 | The second letter of the ID (A or B) stands for the platform on which the person works. |
5 | Local proverb. |
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Platform A | Platform B | |
---|---|---|
Business model | Subscription model—Clients and workers pay for premium accounts. | Commission model—The platform receives a fee for every hour worked. |
Registration process | Information like location and availability is required, further information like information about the experience or a picture optional. | It is a longer process in which the documents are checked, and a digital interview takes place. |
Formal qualifications | Option to indicate qualifications, but no obligation. | Option to indicate qualifications, but no obligation. |
Matching | Swipe matching function available, but search is usually performed independently via private message. | Placement suggestions from an employee. |
Interface | After registration on the website, communication and processes are largely regulated via an app that both customers and workers have. | Registration and matching take place on the website, and processes are organized independently of the platform. |
Documentation of working time | Regardless of the platform. | Via app in connection with the invoicing. |
Invoices | Invoices are handled differently regardless of the platform. | Invoices are generated by the platform. |
Hourly wage | Negotiated between client and care worker, salary expectations can be specified. | Fixed price includes a fee for the platform, fixed in the app. |
Substitution during vacation or illness | Organized by the platform. | Organized by clients and workers. |
ID4 | Region | Sex | Platform |
---|---|---|---|
PA1 | Hesse | Female | PF A |
PA2 | Thuringia | Female | PF A |
PA3 | Saxony | Male | PF A |
PB4 | North Rhine-Westphalia | Male | PF B |
PA5 | Bavaria | Female | PF A |
PA6 | Hamburg | Female | PF A |
PA7 | Brandenburg | Female | PF A |
PA8 | Berlin | Female | PF A |
PB9 | North Rhine-Westphalia | Male | PF B |
PB10 | Rhineland-Palatinate | Female | PF B |
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Korn, A.K. Informal Home Care in the Digital Transformation: Platform Design and Work Ethics of Care. Soc. Sci. 2025, 14, 225. https://doi.org/10.3390/socsci14040225
Korn AK. Informal Home Care in the Digital Transformation: Platform Design and Work Ethics of Care. Social Sciences. 2025; 14(4):225. https://doi.org/10.3390/socsci14040225
Chicago/Turabian StyleKorn, Anna Katharina. 2025. "Informal Home Care in the Digital Transformation: Platform Design and Work Ethics of Care" Social Sciences 14, no. 4: 225. https://doi.org/10.3390/socsci14040225
APA StyleKorn, A. K. (2025). Informal Home Care in the Digital Transformation: Platform Design and Work Ethics of Care. Social Sciences, 14(4), 225. https://doi.org/10.3390/socsci14040225