低成本高质量的乡村医疗，何以可能？

Core Viewpoint - Z City has developed a low-cost, high-quality rural healthcare system that effectively meets the medical needs of its agricultural population, supported by a strong local demand for healthcare services and a robust institutional framework [3][12][17]. Group 1: Low-Cost High-Quality Rural Healthcare Practices - Z City has over 26 township health centers and 438 village clinics, providing comprehensive services for common rural illnesses [4][5]. - The healthcare system offers high reimbursement rates, with outpatient reimbursements exceeding 200 per year and inpatient reimbursement rates reaching 90%, significantly reducing the financial burden on farmers [5]. - The establishment of a medical community network since 2019 has enhanced the interaction between urban and rural healthcare, ensuring that nearly 97% of patients receive effective treatment locally [6][8]. Group 2: Factors Enabling Low-Cost High-Quality Healthcare - The large population base in Z City generates substantial local healthcare demand, driving the development of the rural healthcare system [9]. - The dual norms of social and professional standards ensure high-quality healthcare delivery, with local social structures providing informal constraints on healthcare providers [11]. - Institutional support, including public health services and medical insurance, enhances accessibility and reduces costs for rural residents [12][13][14]. Group 3: Impact of Low-Cost High-Quality Healthcare - The rural healthcare system alleviates the economic burden on farmers by providing accessible and quality services, reducing travel and treatment costs [17]. - It promotes equitable development of public services between urban and rural areas, narrowing the health gap [17]. - Improved healthcare services contribute to rural development and encourage population return, reinforcing the vitality of rural areas [17].