Abstract: Shenzhen has been the first city in Guangdong province to explore the mode of hospital-managed community health service, which is different from other grassroots medical service units in China. Since the establishment of the first community health service center in 1996, Shenzhen has always adopted the operation system of " hospital management ". Performance distribution is a reform mechanism to ensure the high speed operation of community health service centers and an important measure to improve the enthusiasm of medical staff. With the development of community health service, the hospital-managed community health service has been optimized and improved, but the performance distribution of community health service center still has disadvantages. It is more important for the community health service center to solve the problems it faces in the process of development to improve the service quality and level of the community health service center. Therefore, it is extremely urgent to establish a suitable and efficient performance distribution system for Shenzhen community health service centers. The author takes 27 community health service centers of Shenzhen Longhua District People's Hospital as an example, analyzes the advantages and disadvantages of the performance distribution system of community health service centers, considers the opportunities and threats in the external environment, and identifies the main problems in the establishment and development of the performance distribution system. SWOT analysis method is used to analyze the problems in detail, and puts forward the problems and countermeasures, which provides reference for the methodological research of performance distribution and promotes the establishment of a more fair and effective performance distribution system.