This systems archetype shows that certain fixes exacerbate the same problem due to its side effects.
Most of FQHCs have a high rate of no-shows, due to many reasons. Each organization usually expects certain number of patients to be seen in a day. It fights back that high rate of no-shows by doubling or tripling the number of patients to be seen. In the short term, this practice decreases the no-show rate. But in the long run, this practice increases the burden of the staff, causing burnout. People leave the organization. The remaining staff, with low morale and in reducing number, cannot perform well. Patients' dissatisfaction is high and the no-show rate climbs up, making it an intractable problem. Management does not know why, continuing to double or triple the schedule.