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This research discusses the communication pattern done by a director of a regional hospital in the process of health decentralization in Indonesia. Hospital is a unique institution because it has so many different health professionals who work there. After the enactment of government regulation Number 18 Year 2016 the hospital is no longer a regional technical institution but limited to a service unit under the Health Service Department. This study uses a qualitative paradigm with case study research methods where the several events were used as the object of research and being studied for a certain period of time. The research was in Kabupaten Karawang. In this study, four speakers have different views about the same case. This study aims to find out the pattern of a director's communication which in article 43 of government regulation No. 18 of 2016 is an additional task given to a doctor or dentist. In this study, we concluded that the post-decline autonomy law becomes a new chapter for decentralization in health. Unfortunately, this decentralization is not accompanied by the deconcentration of authority. The region does not feel the ownership of the health sector, especially hospitals. The funding responsibility for the hospital is located in the central government which requires a director to have a strong relationship with the central government. The work of directors does not only stop at reputable hospitals that have many subordinates with different

Communication Pattern of the Director of Regional Hospital in the implementation of Health Decentralization in Indonesia