To provide acute home care to COVID-19 patients, we developed a new system that involved several clinics that would take turns dispatching a “rapid response team” to conduct an initial home visit and then one “base clinic” would provide the necessary care. To demonstrate the efficiency of this system, one case is presented. This COVID-19 patient with schizophrenia, severe obesity and diabetes mellitus refused recommended hospitalization and recovered with home care provided by this system despite respiratory status deterioration.

COVID-19在宅患者に対して、当番制の即応チームが初回往診を行い、翌日以降はグループ内の1診療所が引き継いで密な治療継続を行う新しいシステムを構築した。このシステムの有効性を示すために1症例を提示する。勧められた入院を断った統合失調症，高度肥満，糖尿病合併COVID-19患者で、呼吸状態悪化にもかかわらずこのシステムでの在宅医療で回復した。