The hospital has a strategic role in tlre effort tr: accelerate the improvement of public health level. The new paradigm of health care requires hospitals to provide quality services according to the needs and wishes of t[-re patient with reference to the code of etlrics of profession and medical.The performance of health care organizations typically usesa nrinimum standarci criterion of service in accordance witlr the Decree of the Mirrisier of Health l\o.74i/ Menkes/Perivlli2C0B.The decree outline includes; a) basic health services, b) health care referrals, c) epidemiological irrvestigation anci prevention of outbreaks and d) health promotion and community empowermeni.The pui'pose of this study is to investigate the implementation of the minirnum service standards in the areas of health reference in Baubau City Regional Hospital anci to determine the factors that affect the minimum service standards in the field of health reference in Baubau City RegionalHospital(RSUD).The method used in this research is descriptive qualitative. The data collection techniques in this research are interview and documentation. Meanwnile, the technique used to analyze the data in this research is descripiive analysis techniques. This analysis includes checking the data, the data grouping, data checking, data analysis and conclusion making. The results of this study showed that the implementation of the Minimum Service Standards in the field of health referencein Baubau City Regional Hospital (RSUD) is already good. A minor lack of SPM implementation in the field of health reference Baubau City Hospital is in the amount of human resources required. The factors that affect the implementation of minimum service standard in the field of health reference in Baubau City Regional Hospital are; Communication, disposition, and bureaucratic structure. As for the factors of human resource, there is still a shortage of resources because there is only B0 percent sufficiency of human resources in Baubau City Regional Hospital.