A cross-sectional study was conducted on patient satisfaction with health services at the Out Patient Department of Teaching Hospital Karapitiya, with the aim determining the relationship between satisfaction and explanatory factors. Suggestions and comments from the patients were also revealed in this study. Using a structured questionnaire, data were derived from 251 patients using the OPD services. Descriptive statistics were used to describe satisfaction level and independent variables while the relationships between these factors were determined by Chi-square test. The average score of patient satisfaction was 3.5 and 10.4% of the patients were highly satisfied with health services.Patients were highly satisfied with courtesy (45.8%), quality of care (44.2%), physical environment (41.8%), convenience (24.7%), and out of pocket cost (23.5%). Regarding predisposing factors, attitude were significantly associated with level of satisfaction (p=0.002). The majority of the patients were concerned about waiting time to seek a doctor's service and counter services are being delayed due to not enough staff being available. Strategies emphasizing improving the image of the hospital should be continuously implemented while the attitude of the patients could change with good reputation of hospital. Patient satisfaction surveys can be conducted in each unit to get the real picture for further strategies.

Lankan healthcare system is a combination of public health-the main driver enabling universal access which is financed by general revenue sources-and the private sector which is financed through fees levied for service arrangement. But the emerging trend is the rising Out of

Background: The healthcare system in Sri Lanka is the metaphorical "feather in the nation's cap". The relationship between social factors that lead to health or chronic diseases has long been recognized in Sri Lanka's public health care delivery system [1]. The chronic nature of coronary heart disease (CHD) and high out of pocket health spending add a substantial cost burden to the economy of the households. The economic burden of Coronary Artery Bypass Grafting (CABG) care to patients and their families is large [2]. A greater understanding of the financial household cost resulting from CABG care has therefore become necessary to better inform policy [3]. This is the first study done in this research aspect in Sri Lanka.