The seminal Adverse Childhood Experiences studies have clearly shown that the salient sources of drug abuse are to be found in negative childhood experiences like parental addiction, family violence or loss of a parent.
The Adverse Child Experiences studies, which now have studied makes a stunning case for the long term effects on health of violence, abuse, disruption and neglect in the life of adults.
However, the validity of patient satisfaction or experiences studies is debated, 2, 4, 5 and evidence for an association with other widely used measures of institutional performance would strengthen the validity of such studies.
14 15 Such attitudes appear to be mirrored in people's behaviours and experiences; studies of adults who are very overweight show that they experience both stigma and discrimination and that this impacts negatively on their well-being.
Rather than simply asking about patient satisfaction, patient experiences studies identify concrete health care aspects that are important as measures of service quality from the perspective of the patients and hence contribute to their overall satisfaction.
