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KMID : 0387320230330020185
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Korean Journal of Health Policy and Administration
2023 Volume.33 No. 2 p.185 ~ p.193
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Effects of Telephone Hotline Counseling Program on Stroke Care
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Kim Baik-Kyun
Kang Dong-Wan
Kim Do-Yeon
Park Jung-Hyun
Woo Ji-Seok
Kim LYoung-Hee
Kim Hyun-Sook
Moon Min-Joo
Lee Jeong-Yoon
Guk Hyung-Seok
Kim Nak-Hoon
Choi Sang-Won
Ahn Ha-Kyeu
Yang Seong-Kyu
Kim Jun-Yup
Kang Ji-Hoon
Han Moon-Ku
Bae Hee-Joon
Kim Beom-Joon
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Abstract
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Background: This study focuses on the establishment and operation of a stroke patient hotline program to help patients and theircaregivers determine when acute neurological changes require emergency attention.
Method: The stroke hotline was established at the Gyeonggi Regional Cerebrovascular Center, Seoul National University BundangHospital, in June 2016. Patients diagnosed with stroke during admission or in outpatient clinics were registered and provided withstroke education. Consulting nurses managed hotline calls and made decisions about outpatient schedules or emergency roomreferrals, 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. Theaverage monthly consultation volume increased from 29.2 cases in 2016 to 92.3 cases in 2020. Common consultation types includedstroke symptoms (22.3%), blood pressure/glucose inquiries (12.8%), and surgery/procedure questions (12.6%). Unexpectedoutpatient visits decreased from 103 cases before the hotline to 81 cases after. Among the 2,244 consultations between January2019 and December 2020, 9.6% were recommended hospital visits, with two cases requiring intra-arterial thrombectomy. Patientsatisfaction 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 unnecessaryhealthcare resource utilization.
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KEYWORD
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Stroke, Telemedicine, Referral and consultation, Health resources
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