This study explores the roles of two health-related concepts on the relationship between quality of homecare services and quality of life among a group of frail older immigrants residing in a large city in the Midwest region of the United States. Analyzing data from a community-based social service agency, this study tested two hypotheses: (1) health-related quality of life mediated the relationship between quality of health-related social services and overall quality of life, and (2) perceived importance of health moderated the relationship between quality of health-related social services and quality of life. Results of this study show that health-related quality of life, measured by satisfaction with health, mediated the relationship between quality of health-related social services, measured by satisfaction with homecare services, and overall quality of life, measured by overall life satisfaction. In addition, perceived importance of health moderated the relationship between quality of health-related social services, measured by satisfaction with homecare services, and quality of life, measured by overall life satisfaction. Quality of homecare services is significantly associated with clients’ quality of life. Homecare services may contribute to clients’ satisfaction with health which, in turn, enhances clients’ overall quality of life. The association between quality of homecare services and quality of life is likely to differ, depending on how important health is perceived. © 2016, Springer Science+Business Media Dordrecht.

Social services Health-related quality of life Life satisfaction Relative importance of health Homemaker services Subjective well-being

immigrant elderly population welfare provision quality of life adult elderly care public health United States life satisfaction