RESUMO
Background@#Missed appointments or “no-show” is a widespread problem faced both by the private and public sectors of the health care community. Identifying factors leading up to no shows will help the movers of health to understand the effects of no show in the utilization of essential health services especially during a pandemic and putting up with a plan to manage the exaggerated decline in both primary consultation and follow-up appointments@*Objective@#To determine the associated factors of future no show among patients seen in Cebu Institute of Medicine – Community Medico Social Services (CIM-CMSS).@*Methods@#Analytic, cross-sectional study was adopted by the study and was conducted at Cebu Institute of Medicine – Community Medico-Social Services Center from July to November 2021 to 165 participants chosen via purposive random sampling. Data collection was done using a validated, researcher-developed two-part questionnaire@*Results@#One hundred sixty-five patients participated in the study. The demographics were gathered, associated with the factors that could affect the no-show rate. The top 5 contributing factors are as follows: Fear of COVID-19; Weather; Long waiting time during consult or follow-up; Work or school; Transportation Problems. Other non-patient and non-institution-related factors obtained the highest mean ratings. Only civil status and income showed significant difference. These may indicate that the decision to seek follow up is affected by factors outside the control of patient or the institution in relation to the different civil status and income levels.@*Conclusion@#The fear for the COVID-19 infection still holds the primary reason for not showing up for the scheduled follow up. Majority of the factors belonged to patient-related and other non-patient related and non-institution related factors. The long waiting hours could be addressed by CIM-CMSS to improve its services to patients. The ongoing pandemic will continue to affect the already-struggling follow up rates of CIM-CMSS
RESUMO
Background@#The highly demanding nature of medical education may lead to development of burnout in medical students which may persist beyond medical school. Burnout can be a predictor of psychological impairments and incorrect patient care@*Objective@#This study aimed to determine the prevalence of burnout and its relationship to socio-demographic variables and associated stressors among 1st to 4th year medical students of Cebu Institute of Medicine for school year 2018-2019@*Methods@#This is cross-sectional study using a self-administered three-part questionnaire composed of socio-demographic data, stressors, and the Copenhagen Burnout Inventory (CBI). Descriptive statistics were taken for all variables. T-test analysis was used for dichotomous independent variables while Analysis of Variance was utilized for independent samples with multiple variables. Multiple regression analysis was done to determine significant relationship between identified stressors and the determinant score on the CBI@*Results@#Participants had high degree of burnout with average CBI score of 71.53. Majority of the respondents (94.88%) showed at least moderate burnout. Only Year Level (p=0.027) was significantly associated with burnout. Stressors associated with burnout were: lack of belief in what you do (p=0.000), insufficient rewards (p=0.007), poor communication (p=0.002), poor leadership (p=0.009), sense of never ending competition (p=0.009) and scoring lower than hoped (p=0.003).@*Conclusion@#Students are at risk for burnout as they temporally progress through medical school peaking at 3rd year level. Stressors encompass personal, study, colleague, and teacher related factors. It is important to address these stressors due to their progressive negative effect both on self and others.