<![CDATA[ABSTRAKLatar belakang: Program SPGDT belum menunjukkan hasil maksimal, sehingga banyak dikeluhkan oleh masyarakat ketika mereka membutuhkan pelayanan kesehatan. Meskipun hampir di setiap kota terdapat Instalasi Gawat Darurat dari semua tipe rumah sakit baik pemerintah atau swasta, pelayanan ambulans dan berbagai fasilitas kesehatan lainnya, namun keterpaduan dalam melayani penderita gawat darurat belum sistematis, kurangnya komunikasi baik antar fasilitas kesehatan dan antar tenaga kesehatan dengan masyarakat. Tujuan dari literatur review ini adalah untuk menjelaskan gambaran pelakasanaan SPGDT dan faktor-faktor yang mempengaruhi keberjalanan SPGDT.Metode: Penelitian ini merupakan penelitian yang menggunakan literature review sederhana. Pencarian database yang digunakan termasuk ScienceDirect, Scopus, PubMed, Portal Garuda dan Google Cendikia dengan kata kunci serta kriteria inklusi dan eksklusi yang sudah ditetapkan. Hasil: Faktor yang mempengaruhi program SPGDT adalah standar operasional prosedur (SOP) dan sumber daya. Hasil penelitian menemukan bahwa SOP diberbagai daerah masih kurang baik dalam pembahasan SOP dan sosialisasi terhadap masyarakat. Sumber daya di puskesmas sudah baik dalam hal anggaran akan tetapi masih kurang pada bagian sumber daya manusian karena petugas pelaksana unit puskesmas belum pernah dilatih dan belum mengantongi sertifikat pelatihan kegawatdaruratan.Simpulan: Dalam keberjalanan program SPGDT diberbagai daerah masih belum dapat memenuhi standar pemerintah pusat baik dalam waktu tanggap, SOP, dan sumber daya.Kata kunci: SPGDT; gawat darurat; implementasi; kesiapan ABSTRACTTitle: Analysis of the Implementation of the SPGDT Program in IndonesiaSPGDT; gawat darurat; implementasi; kesiapanBackground: The SPGDT program has not shown maximum results, so that many people complain about it when they need health services. Although in almost every city there are Emergency Departments of all types of hospitals, both government and private, ambulance services and various other health facilities, but integration in serving emergency patients has not been systematic, lack of good communication between health facilities and between health workers with the community. The purpose of this literature review is to explain the description of the SPGDT implementation and the factors that influence the running of the SPGDT.Method: This research is a research that uses a simple literature review. The database searches used included ScienceDirect, Scopus, PubMed, Portal Garuda and Google Scholar with predefined keywords and inclusion and exclusion criteria.Result: The factors that influence the SPGDT program are standard operating procedures (SOPs) and resources. The results of the study found that SOPs in various regions were still not good at discussing SOPs and socialization to the community. The resources at the puskesmas are good in terms of budget but are still lacking in the human resources section because the implementing officers of the puskesmas unit have never been trained and have not yet obtained an emergency training certificate.Conclusion: In the course of the SPGDT program in various regions, it has not been able to meet central government standards in terms of response time, SOP, and resources.Keywords: SPGDT; emergency; implementation; readiness]]>
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