Social Indicators Research

, Volume 134, Issue 2, pp 711–723 | Cite as

Health, Quality of Homecare Services and Quality of Life: A Case of Frail Older Immigrant Adults

  • Chang-ming HsiehEmail author


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.


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



This research was supported by a grant from the Institute of Research on Race and Public Policy, University of Illinois at Chicago. The author is grateful for the assistance and support of staff members at the Chinese American Service League, especially Ms. Connie Liu. The views expressed in this article do not necessarily represent those of the Chinese American Service League.


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Copyright information

© Springer Science+Business Media Dordrecht 2016

Authors and Affiliations

  1. 1.Jane Addams College of Social WorkUniversity of Illinois at ChicagoChicagoUSA

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