Abstract:Objective: Under pluralistic social medicines, to explore changes of medical resource allocation efficiency in Shandong different kinds of community health service stations in 2015. Methods: Questionnaire method was used to analysis data about 1246 community health service stations of 9 types in 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 9.31%, which were more concentrated in stations run by medical institutions. Five types of stations’ effective rates were higher than the average. Among them, the overall effective rates of stations transformed by primary and township hospitals were up to 58.33% and 60.00%. The overall technical effective rate was 23.27%, 77.78% stations’ values were higher than it. Community health service stations held by medical, enterprise and public institutions had the highest proportion, however, internal proportions differed greatly. The overall scale effective rate was 9.31%, of which, station scale of higher than it was 55.56%. In the matter of ratio, proportions of stations held by enterprises, colleges, tertiary hospitals and individuals were obviously lower than others. The mean percentage of increasing returns to scale was 59.31%, when technology was effective and scale was invalid. 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 82.99%, and significantly higher than technical inefficiency which was 64.93%. It could severely impact the overall effective rate. Conclusions: In service implementations, community health service stations held by medical institutions were slightly better than others. However, internal proportions differed greatly. In general, other types’ service effects had little differences. The stations transformed by primary and township hospitals used minimum inputs to get maximum outputs, which were suitable for primary care health services. The government should change community health service-input model and break limits of industry affiliation, to complete the transformation from ‘provide services’ to ‘buy services’. By comparing medical allocation efficiencies in stations established by medical organizations, it would give good warnings about medical treatment combinations’ mass establishments