The high cost of traditional inpatient care, advances in the delivery
of depot antibiotics and narcotics, and the demands of patients for re
alistic alternatives to frequent hospitalisation have led to programs
for the provision of acute hospital care in the home. We review the pr
ogress of overseas hospital-in-the-home programs and the issues that s
uch service delivery has raised for clinicians and administrators. The
potential application in Australia is examined and priorities for pre
parative research are suggested. It seems inevitable that for a select
number of conditions in a select group of patients, home hospital ser
vices will become a reality in this country.