PATIENT-REPORTED OUTCOMES AMONG COMMUNITY MENTAL HEALTH SERVICE USERS
Author(s)
Eliza Lai-Yi Wong, PhD, Annie Wai-ling Cheung, MPhil, Jonathan Chun-hei Ma, MSc, Eng-kiong Yeoh, MBBS.
JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
OBJECTIVES: Community mental health services (CMHS) in Hong Kong (HK) are steadily expanding as an essential component of the healthcare system, supporting individuals recovering from mental health disorders. Given the complexity of psychological conditions, patient-reported outcome measures (PROMs) collected after mental health service use provide valuable indicators for evaluating the care quality, including user-centered experiences and health-related quality of life (HRQoL). Such information can further inform the healthcare needs of this population. This study aimed to investigate the service experiences and HRQoL among Chinese CMHS users.
METHODS: A cross-sectional survey was conducted among CMHS users recruited through local community organisations. Service experience was assessed using a locally validated patient experience instrument and HRQoL was evaluated using the Hong Kong EQ-5D-5L and its utility index. Demographic data were also collected. A linear regression model was employed to examine the relationship between service experience and HRQoL. Statistical significance was set at p<0.05.
RESULTS: A total of 363 service users participated in the study with a response rate of 86.8%. The participants reported positive service experience, with a mean score of 7.2 on a 0-10 scale and perceived the services to be effective for their health (mean score = 7.0). Among the participants, more than half reported experiencing pain/ discomfort (63.9%) and anxiety/ depression (53.7%). The mean HRQoL index was 0.771 (SD=0.221). Linear regression analysis showed that higher perceived service effectiveness was significantly associated with higher HRQoL.
CONCLUSIONS: The HRQoL of CMHS users in Hong Kong was lower than the general population. It was also comparatively lower than the estimates reported in local studies of other chronic conditions, such as heart disease, diabetes, and cancer. These findings highlight the effect of psychiatric conditions on HRQoL and indicate the importance of measuring HRQoL as an indicator of care quality among CMHS users.
METHODS: A cross-sectional survey was conducted among CMHS users recruited through local community organisations. Service experience was assessed using a locally validated patient experience instrument and HRQoL was evaluated using the Hong Kong EQ-5D-5L and its utility index. Demographic data were also collected. A linear regression model was employed to examine the relationship between service experience and HRQoL. Statistical significance was set at p<0.05.
RESULTS: A total of 363 service users participated in the study with a response rate of 86.8%. The participants reported positive service experience, with a mean score of 7.2 on a 0-10 scale and perceived the services to be effective for their health (mean score = 7.0). Among the participants, more than half reported experiencing pain/ discomfort (63.9%) and anxiety/ depression (53.7%). The mean HRQoL index was 0.771 (SD=0.221). Linear regression analysis showed that higher perceived service effectiveness was significantly associated with higher HRQoL.
CONCLUSIONS: The HRQoL of CMHS users in Hong Kong was lower than the general population. It was also comparatively lower than the estimates reported in local studies of other chronic conditions, such as heart disease, diabetes, and cancer. These findings highlight the effect of psychiatric conditions on HRQoL and indicate the importance of measuring HRQoL as an indicator of care quality among CMHS users.
Conference/Value in Health Info
2026-11, ISPOR Europe 2026, Vienna, Austria
Value in Health, Volume 29, Issue 12S
Code
PCR117
Topic
Health Policy & Regulatory, Health Service Delivery & Process of Care, Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Mental Health (including addiction)