• Richard Huan Xu, Annie Wai Ling Cheung, and Eliza Lai Yi Wong.
• Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, People's Republic of China.
• Patient Prefer Adher. 2019 Jan 1; 13: 145114621451-1462.

IntroductionPatient engagement (PE) helps healthcare professionals to collaborate with patients to work together to improve health outcomes. However, the studies of PE and its relationship with health-related quality of life (HRQoL) is very rare in Hong Kong (HK) and China. The aim of this study was to assess the PE level and its association with HRQoL in the general outpatient clinic (GOPC) in Hong Kong.MethodsA cross-sectional survey was conducted in a GOPC in 2017. Patient engagement index (PEI) was used as a valid and reliable instrument to assess the PE level in the primary care setting. EQ-5D-5L HK Chinese version was used to evaluate the patients' HRQoL. ANOVA, ANCOVA and robust linear regression were used to analyse the data.Results686 patients successfully completed the survey (response rate =64%). The mean utility of EQ-5D (0~1.0) was 0.92. Male, highly educated and younger respondents got higher utility. For PEI (0~100), the mean score was 37.02, whereas female (38.03), highly educated and younger respondents performed better. The regression model indicated that there is a positive relationship between PE and HRQoL (beta =2.66, SE =5.11, p<0.05). However, after adjusting a series of socio-economic characteristics, the relationship was weakened (beta =1.77, SE =4.64, p<0.05) and even insignificant.ConclusionThis is the first study in HK to assess the PE level and its relationship with HRQoL in the primary care setting. The result indicated that improve PE could bring a positive influence on the HRQoL. However, the PE-HRQoL relationship might be deeply influenced by an individual's physical, psychological or social characteristics.© 2019 Xu et al.

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