Abstract: Agencification public service in the form of public service agencies at the local hospital Bahteramas have occurred since 2010. sorting, autonomy and accountability as agencification element as part of efforts to improve health services. In this context, the Southeast Sulawesi provincial government as the perpetrators have been entrusted to the agent who is in the hospital, especially the line manager to make optimum efforts to achieve the target set. This study aimed to analyze the public service agencification Regional General Hospital Bahteramas sorting aspect, where autonomy and accountability managerialism. This study used a qualitative approach. Qualitative research is research that focuses on the interpretation and understanding rather than explanation and prediction and natural. Agencification public services in hospitals Bahteramas not go well. In addition to problems in aggregating, managerialism limited autonomy and accountability.