OBJECTIVES:  Hip fracture is a major health burden in Thailand.   We determined the health-related quality of life for patients living with hip fracture, correlated factors and relationships with one-year health care resource utilization. METHODS:  A self-administered Medical Outcomes Study 36-item Short Form Survey (MOS SF-36) questionnaire was mailed to patient after hospital discharge over 6 months. A cross-sectional analysis of MOS SF-36 was carried out among 119 hip fracture patients of Chiangrai Hospital. Healthcare resource utilization was follow-up for one year taken from hospital database.  RESULTS:  Response rate was 67 % and a mortality rate after one year was 14%. The Cronbach's alpha coefficients of eight items symptoms domain, and of two items of summary score components for physical function and mental function of MOS SF-36 Thai questionnaire were 0.769 and 0.831 respectively. The mean ±SD (95 % CI) for summary score components for physical and mental functions were 40.1±11.6 (38.0-42.2) and 48.0±10.2 (46.1-49.9) respectively. There was no significant difference of mean ±SD scores for global health between gender (p=0.103), age (65≤ and >65years) (p=0.798), BMI (20.0≤ and >20.0kg/m2) (p=0.693), hip fracture management types (surgical and nonsurgical) (p=0.386) and types of hip fracture (p=0.188) respectively. Presence of co-morbidity was a highly correlated factor for summary score components for physical (p=0.030), and mental (p<0.001) functions. There was no significant correlation between overall one year healthcare resource utilization with both summary score components for physical (p=0.567) and mental (p= 0.357) functions. CONCLUSIONS:  Health-related quality of life assessments with MOS SF-36 for Thai hip fracture patients are reliable. Thai hip fracture patients reflect poorer physical functions than mental functions. Presence of co-morbid disease is a factor well correlated with poorer health-related quality of life. There is no significant correlation between one-year health care resource utilization and health-related quality of life for Thai hip fracture patients.