- The goals of the study were to examine: (a) the tasks that migrant live-in care workers are expected to perform and actually perform during the hospitalization of their care recipients, and (b) the factors that explain the level of involvement by care workers in caring for hospitalized care recipients. A sample of 535 dyads of family caregivers and care workers of hospitalized care recipients in two general hospitals in Israel was interviewed. Results showed a high level of congruence between the care workers' and family caregivers' perceptions of the roles that the paid carers should perform. Paid carers' involvement in care provision varied by hospital and type of ward and was best explained by the hospital characteristics and congruence in the care workers' perceived roles. The extensive needs of hospitalized functionally disabled older adults necessitate explicit policies and guidelines regarding private care provided in hospital wards.