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All Journal Mutiara Medika: Jurnal Kedokteran dan Kesehatan Berkala Kedokteran Jurnal Penelitian Kesehatan Suara Forikes Journal Of Holistic Nursing Science Indonesian Journal for Health Sciences (IJHS) Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan Journal of Nursing Science Update DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Nerspedia
Rismia Agustina
School Of Nursing, Faculty Of Medicine, Lambung Mangkurat University.
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Strengthening Palliative Care Systems in Indonesia: A Strategic Policy Brief to Address Health System Gaps Agustina, Rismia; Romadhon, Pradana Zaky; Lin, Mei- Feng
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 3 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i3.888

Abstract

Background: Cancer is one of the most burdensome diseases in Indonesia, ranking as the second-highest cost contributor in the National Health Insurance (Jaminan Kesehatan Nasional) scheme, with expenditures reaching 3.2 trillion rupiahs (approximately 221 million USD). Palliative care is an essential component of cancer management, aimed at alleviating physical, emotional, and psychosocial suffering. However, access to palliative care in Indonesia is extremely limited, with services available in only seven hospitals across three major islands, leaving most regions underserved. Objective: This policy brief aimed to analyze existing challenges and propose strategic policy recommendations for strengthening palliative care services to address healthcare system pressures in Indonesia, particularly related to cancer. Methods: A narrative policy analysis was conducted using secondary data from national healthcare reports, cost analyses, and peer-reviewed literature on palliative care effectiveness. The review assessed service coverage, accessibility, financial burden, and policy frameworks to identify key gaps and opportunities. Results: The analysis highlighted critical disparities in access to palliative care across Indonesia’s geographically dispersed regions. Despite evidence supporting the cost-saving and quality-of-life benefits of palliative services, implementation remains centralized and fragmented. Lack of national integration, workforce capacity, and public awareness were identified as major barriers. Conclusion: Developing an integrated, nationwide palliative care strategy is urgently needed to mitigate healthcare costs and improve quality of life for patients with cancer and other life-limiting illnesses. Policy efforts should focus on decentralizing services, expanding training for health professionals, and incorporating palliative care into primary healthcare systems.
Co-Authors Abdul Basith Abdul Basith Abdurahman Wahid Agianto Agung Biworo Agung Biworo Ahmad Farid Akhmad Renaldi Renaldi Alfi Yasmina Amelina Ramadhani Dedy Heryawan Apriani Apriani Apriani Apriani, Rosina Asmadiannor Asmadiannor Asmadiannor Azizah Azizah Azizah Bellia Yulise Damayanti, Emmelia Astika F. Dewi, Nela Yuliya Dewiana Hernita Dhian Ririn Lestari Diky Rizayanoor Eka Santi Eka Setiawati Eka Setiawati Eko Suhartono Eko Suhartono Elyana Fadiah Emmelia Astika F.D. Emmelia Astika Fitri Damayanti Enny Zahratunnisa Evy Marlinda Evy Marlinda, Evy Ghina Pangestika Hafifah, Ifa Hafifah, Ifa Hartanti Wisnu Wardani Hasby Pri Choiruna Hasby Pri Choiruna Hayatunnisa, Nor Herry Setiawan Ichsan Rizany Insan Kamil Kamil, Insan Kurnia Rachmawati Kurnia Rachmawati, Kurnia Larasati Larasati Ledy Ovel Anggreny Lin, Mei- Feng Maisunah Ersiswan Maulidya Septiani Miftahul Jannah Muhamad Bagus Umaro Muhibbah Muhibbah Munawarah, Siti Musyarrofah Musyarrofah Neka Erlyani Noor Diani Nor Hayatunnisa Nor Hayatunnisa Hayatunnisa Norjannah Norjannah Novi Mustahdiati Nasri Nurhidayah, Titis Oski Illiandri Oski Illiandri Oski Illiandri Oski Illiandri Oski Illiandri Pangestika, Ghina Rachmadani, Zaid Rachmawati, Kurnia Rahmina, Yuniar Ria Susana Rian Hidayat Ridha Fitria Rina Anggraini IS Rinawati Rinawati Rinawati Rizany, Ichsan Romadhon, Pradana Zaky Rosina Apriani Rusdi Rusli Rusdi Rusli, Rusdi Sari Sari Sayeeda, Adinda Siti Munawarah Sri Wenny Dewi Susana, Ria Venni Inneke Wahid, Abdurahman Wahid, Abdurahman Wardani, Hartanti Wisnu Windy Yuliana Budianto, Windy Yuliana Yuhyen Yuhyen YULIANI Yuliani Yuliani Yuniar Rahmina Zaid Rachmadani Zannah, Miftahul