뇌졸중 환자에 적용한 핫라인 전화상담 프로그램의 효과

• Published in: Health policy and management Vol. 33; no. 2; pp. 185 - 193
• Main Authors: 김백균, Baik Kyun Kim, 강동완, Dong-wan Kang, 김도연, Do Yeon Kim, 박정현, Jung Hyun Park, 우지석, Ji-seok Woo, 김영희, Young-hee Kim, 김현숙, Hyun-sook Kim, 문민주, Min-joo Moon, 이정윤, Jeong-yoon Lee, 국형석, Hyung Seok Guk, 김낙훈, Nakhoon Kim, 최상원, Sang-won Choi, 안하규, Hakyeu Ahn, 양성규, Bosco Seong Kyu Yang, 김준엽, Jun Yup Kim, 강지훈, Jihoon Kang, 한문구, Moon-ku Han, 배희준, Hee-joon Bae, 김범준, Beom Joon Kim
• Format: Journal Article
• Language: Korean
• Published: 한국보건행정학회 30.06.2023
• Subjects: Health resources; Referral and consultation; Stroke; Telemedicine; Health resources; Stroke; Telemedicine; Referral and consultation
• ISSN: 1225-4266

Background: This study focuses on the establishment and operation of a stroke patient hotline program to help patients and their caregivers determine when acute neurological changes require emergency attention. Method: The stroke hotline was established at the Gyeonggi Regional Cerebrovascular Center, Seoul National University Bundang Hospital, in June 2016. Patients diagnosed with stroke during admission or in outpatient clinics were registered and provided with stroke education. Consulting nurses managed hotline calls and made decisions about outpatient schedules or emergency room referrals, consulting physicians when necessary. The study analyzed consultation records from June 2016 to December 2020, assessing consultation volumes and types. Outcomes and hotline satisfaction were also evaluated. Results: Over this period, 6,851 patients were registered, with 1,173 patients (18%) undergoing 3,356 hotline consultations. The average monthly consultation volume increased from 29.2 cases in 2016 to 92.3 cases in 2020. Common consultation types included stroke symptoms (22.3%), blood pressure/glucose inquiries (12.8%), and surgery/procedure questions (12.6%). Unexpected outpatient visits decreased from 103 cases before the hotline to 81 cases after. Among the 2,244 consultations between January 2019 and December 2020, 9.6% were recommended hospital visits, with two cases requiring intra-arterial thrombectomy. Patient satisfaction ratings of 9–10 points increased from 64% in 2019 to 69% in 2020. Conclusion: The stroke hotline program effectively reduced unexpected outpatient visits and achieved high patient satisfaction. Expanding the program could enhance the management of stroke-related neurological symptoms and minimize unnecessary healthcare resource utilization.