OBJECTIVE: Patient’s involvement in their health care is important to improve quality, efficacy and better patient care. It is a strategy to achieve improved health outcomes and lower costs. A main objective of the discussion is focused on “how to inform, encourage and educate the patient to participate in their health care decisions?” The purpose of the discussion also centered on the various patients focused interventions required to improve the health care outcomes by patient’s participation.. BACKGROUND: All patients want the information about the disease and complications they have, but not all want to involve in decision making. Most of the patients preferred to leave the final decision on doctors/clinicians. Engagement of patients in health care and decision making would improve the health outcomes and lowering the cost of therapy or treatment. DISCUSSION: Health care is a complicated system to patients; they struggle to understand their medical conditions and services. All patients must have to know about basic health information and treatment options. This would be possible by encouraging patient’s to play an active role in their health care that could improve health outcomes, efficiency and quality. Patient’s participation and engagement are based on patient activation which refers to understanding, ability, health literacy and willingness of patient to manage his or her health and care. Patients can participate at different levels as direct care or their preference in treatment plan and/or in policy making for future recommendations. Patient focused interventions are discussed as companion to patient’s participation or engagement. Improvement in health literacy, patient safety, improvement in self care and clinical decision making are four primary interventions which promote the patient’s involvement and better health outcomes. Improving service development and access to health advice with care experience are other adjuvant interventions. So patient’s participation is a key better care plan.