[논문]뇌졸중 환자에 적용한 핫라인 전화상담 프로그램의 효과

김백균; 강동완; 김도연; 박정현; 우지석; 김영희; 김현숙; 문민주; 이정윤; 국형석; 김낙훈; 최상원; 안하규; 양성규; 김준엽; 강지훈; 한문구; 배희준; 김범준

doi:10.4332/kjhpa.2023.33.2.185

뇌졸중 환자에 적용한 핫라인 전화상담 프로그램의 효과
Effects of Telephone Hotline Counseling Program on Stroke Care 원문보기

Health policy and management = 보건행정학회지, v.33 no.2, 2023년, pp.185 - 193

김백균 (경기도의료원 이천병원 신경과) , 강동완 (경기도의료원 이천병원 신경과) , 김도연 (경기도의료원 이천병원 신경과) , 박정현 (경기도의료원 이천병원 신경과) , 우지석 (분당서울대학교병원 경기권역심뇌혈관센터) , 김영희 (분당서울대학교병원 경기권역심뇌혈관센터) , 김현숙 (분당서울대학교병원 경기권역심뇌혈관센터) , 문민주 (분당서울대학교병원 경기권역심뇌혈관센터) , 이정윤 (분당서울대학교병원 신경과) , 국형석 (분당서울대학교병원 신경과) , 김낙훈 (분당서울대학교병원 신경과) , 최상원 (분당서울대학교병원 신경과) , 안하규 (분당서울대학교병원 신경과) , 양성규 (분당서울대학교병원 신경과) , 김준엽 (분당서울대학교병원 신경과) , 강지훈 (분당서울대학교병원 신경과) , 한문구 (분당서울대학교병원 신경과) , 배희준 (분당서울대학교병원 신경과) , 김범준 (분당서울대학교병원 신경과)

Abstract ▼ AI-Helper

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.

주제어

표/그림 (10)

그림 Figure 1. Provided the personal medical history card for stroke patients and the patient hotline program brochure.
그림 Figure 2. The procedure of stroke patient hotline consultation.
그림 Figure 3. Monthly average number of consultation sessions for the Stroke Helpline (sessions/month).
표 Table 1. The number and proportions of patients according to the number of hotline consultation (unit: persons, %)
표 Table 2. Types of hotline counseling
표 Table 3. Baseline characteristics of participants according to the number of hotline consultation
그림 Figure 4. Unexpected outpatient visits before and after the implementation of the stroke hotline program.
그림 Figure 5. Satisfaction with the counseling services of the stroke hotline program.
표 Table 4. Results of hospital visit after the hotline consultation
표 Table 5. Satisfaction survey for hotline calls: descriptive responses

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