Objective: Under new healthcare reform, to explore changes of medical resource allocation efficiency in Shandong community health service stations in 2015. Methods: Questionnaire method was used to analysis data about 1246 community health service stations of 16 cities in Shandong province. The analysis included overall efficiency, technical efficiency and scale efficiency evaluations. Results: The overall effective rate of Community health service stations was 14.00%, which were more concentrated in western region. Eight cities’ effective rates were higher than the average. The overall technical effective rate was 34.00%. 63.00% cities’ values were apparently higher than it. In general, technical efficiencies in east regions were obviously better than the central and western areas. The overall scale effective rate was 14.00%, of which, City scale of higher than it was 69.00%. The mean percentage of increasing returns to scale was 59.84%, when technology was effective and scale was invalid. In the matter of ratio, it was a wide gap between East and West. The proportion of invalid scale was about 86.00%, and significantly higher than technical scale which was 66.00%. Conclusions: The promotion of total efficiency and policy orientation were main causes of total efficiency in community health service stations. So resource allocations should be adjusted to local community health service conditions, such as the increase of technical technology strength and scale investment