The Feasibility of Long-Term Care within Indonesia’s National Health Insurance Scheme: A Qualitative Study

The rising prevalence of chronic diseases and disabilities, along with the aging of the population, has reduced individual independence and increased the demand for long-term care (LTC). This study aimed to assess the feasibility of integrating home healthcare services into Indonesia’s National Health Insurance (NHI) scheme. A qualitative study using purposive sampling was conducted in Bandar Lampung, Yogyakarta, and Jakarta, Indonesia, selected based on disease burden, proportion of older adults, and regional development. Data was collected through in-depth interviews, focus group discussions, and observation between August and September 2024, involving 68 informants, including regulators, community members, and health facility staff. This study used content analysis with a scoring approach to synthesize informants’ perspectives. Informants’ statements were rated using a 1–10 scale to reflect perceived feasibility, with higher scores indicating greater feasibility. The overall feasibility score was high (8.10). Among the six aspects of feasibility, the operational aspect received the lowest feasibility score (7.87), mainly due to resource constraints, while the market aspect had the highest score (8.40). indicating a strong demand for home healthcare services. These findings suggested that integrating home healthcare services into LTC under the NHI scheme is feasible. However, policy efforts should prioritize strengthening operational capacity, workforce readiness, service delivery, and resource allocation to support effective implementation. This study highlights the importance of feasibility assessment as a critical step in developing new health programs.