Objective To Understand the different rank medical establishment conducting the community health service medical personnel's organization pledges. Methods With the organization pledges, the meter carried on the questionnaire survey to Mudanjiang 326 community health service medical personnel and analyzed. Results The scores of primary, secondary and tertiary health care organizations in community health service agency staff organizational commitment at the different levels of the latitude difference between hospitals were statistically significant ( P ＜ 0. 05 ) . Conclusions The the level of organization pledges conducts the hospital rank and its scale influence third-level medical establishment the community health service.