Homebound older adults with dementia have increased health care use, hospitalization rates, and mortality risk, which are associated with considerable health care costs. A large, unmet need for individuals with dementia is home-based medical care. Although our institution has had a primary care program for homebound patients since 2019, we did not have an analogous program for patients with dementia before the coronavirus disease 2019 (COVID-19) pandemic. However, with increased health risks and challenges associated with the pandemic, we rapidly expanded the program to include facility-based older adults with dementia. We incorporated telemedicine and home-based visits to effectively provide patient-centered care that was aligned with their goals and preferences, and we describe a program example of how we provided care during a COVID-19 outbreak in a large facility. Further research is needed to capture potential cost savings and hospitalization rates for persons with dementia who receive home-based medical care. [Journal of Gerontological Nursing, 48(10), 21–25.]

患有痴呆症的居家老人增加了医疗保健使用、住院率和死亡风险，这与相当大的医疗保健费用有关。痴呆症患者的一个巨大的、未满足的需求是家庭医疗服务。尽管我们的机构自 2019 年以来为居家患者制定了初级保健计划，但在 2019 年冠状病毒病 (COVID-19) 大流行之前，我们没有针对痴呆症患者的类似计划。然而，随着与大流行相关的健康风险和挑战的增加，我们迅速扩大了该计划，以包括以设施为基础的患有痴呆症的老年人。我们结合了远程医疗和家庭访问，以有效地提供与他们的目标和偏好相一致的以患者为中心的护理，我们描述了一个计划示例，说明我们如何在大型设施的 COVID-19 爆发期间提供护理。需要进一步的研究来确定接受家庭医疗护理的痴呆症患者的潜在成本节约和住院率。[老年护理杂志，48（10），21-25。]