Objective: Under supply-side structural reform, to explore medical resource allocation efficiency of 1246 community health service stations run by 9 ownerships in east-central-west Shandong province in 2015. Methods: Questionnaire method was used to analysis data about 1246 community health service stations run by 9 ownerships in east-central-west Shandong province. The analysis included overall efficiency, technical efficiency and scale efficiency evaluations. Results: The overall effective rate of community health service stations was 9.47%, among them, the proportions of central and western stations transformed by primary and township hospitals were up to 58.33% and 64.29%. In eastern region, the overall effective rates of stations transformed and extended by secondary hospitals were up to 20.59% and 25.00%. The overall technical effective rate was 23.27%, and the proportion of eastern community health services was 50.55%. In central and western regions, community health service stations held by primary and township hospitals had the highest proportion, which were more than 75.00%. The overall scale effective rate was 9.31%, of which, east-central-west regions shared almost the same proportion. The mean percentage of increasing returns to scale was 59.31%, when technology was effective and scale was invalid. Eastern and mid-western proportions differed greatly, and the difference was as high as 18.77%. Community health service stations run by eastern government and individuals, occupied 73.68% and 78.26%. There were no community health service stations which had increasing returns to scale, at the same time, scale was effective and technology was invalid. The proportion of invalid scale was about 50.84%, and mid-western different inefficiencies were generally higher than eastern area. Conclusions: Community health service stations run by 9 ownerships in Shandong province integrally were extension growing, at the same time, owned unclear service orientation, unreasonable resource allocation, insufficient resources and waste. Medical institutions at all levels took on inverted pyramid distribution. Their quantities w ere seriously inadequate and medical resource allocations w ere inefficient. The stations transformed and extended by mid-western primary and township hospitals, eastern secondary hospitals were most suitable for primary care health services currently. There were hierarchical faults in eastern primary medical and health institutions. In medical and health service implementation, east-central-west community health service organization s run by public institution, enterprise and college had little difference. Meanwhile, their resource allocation efficiency was very low. Community health service stations organized by government had more potential in effective technology. Eastern private stations’ momentum was obviously better than that in the mid-west. The government should try to purchase medical and health services from such institutions