Objective:To compare and analysis under the classification system of Xinjiang three urban grass-roots community health institutions resource allocation and utilization of fairness in 2011-2015. Methods: Through mapping in economics lorenz curve and calculating Gini coefficient to measure the grass-roots community health resource allocation and utilization of fairness. Results: The three basic urban community system built in Xinjiang, but on the allocation of resources utilization, there is health technical personnel configuration unfair, fewer health technicians, the actual data is low, unreasonable medical than nurse, social recognition is not high. Basic medical use unfair, use is not enough, difficult to fulfill the task of grading diagnosis and sinking to the community health institutions; Basic public health service utilization is fair, development trend is good.Conclusion: Optimizing the resources distribution of community health institutions, increase investment in health technical personnel, improve the level of basic medical use, intensify basic public health service, efforts to achieve docking with the classification of diagnosis and treatment work.