How Do Disadvantaged Groups Seek Information about Public Services? A Randomized Controlled Trial of Communication Technologies

Governments and NGOs are switching to phone- and Internet-based communication technologies to reduce costs and broaden access to public services. However, these technological shifts can backfire if they exacerbate administrative burden in high-need communities. We conducted a randomized controlled trial in Greece evaluating which communication mode best allows disadvantaged groups to solicit information about free services. Subjects were 18 times more likely to use a prepaid postcard and 8 times more likely to use a postcard requiring postage than a hotline or email to seek information about free dental care. Focus groups indicate that low self efficacy greatly limits disadvantaged groups’ willingness to use newer technologies for bureaucratic inquiries. We demonstrate that the administrative burden associated with technological shifts is larger than previously believed and that widespread psychological barriers include not only the stigma of welfare receipt, but also the stigma of mishandling a conversation with a bureaucrat.