Core Viewpoint - The article highlights the advancements in healthcare accessibility and management in Yangxi County, Guangdong Province, emphasizing the establishment of a community-based medical system that allows residents to receive medical care closer to home, thereby improving health outcomes and reducing costs [5][64]. Group 1: Healthcare Accessibility - Yangxi County has implemented a community healthcare model that integrates three county-level hospitals, eight township health centers, and 138 village clinics into a unified system, enhancing resource allocation and management [6][7]. - The establishment of standardized village clinics has made it possible for residents to access common chronic disease medications locally, reducing the need to travel to town for treatment [15][19]. - The integration of medical insurance systems into village clinics has streamlined the reimbursement process, allowing patients to receive care without the need to visit town for insurance claims [24][30]. Group 2: Resource Allocation and Management - The county has invested in upgrading township health centers, improving infrastructure and service delivery, which has led to a significant increase in patient willingness to seek care at these facilities [38][41]. - A network of county-level specialists is now available at township health centers, providing consultations and enhancing the quality of care at the local level [40][42]. - The implementation of a cloud-based health information system has facilitated data sharing between village clinics and county hospitals, improving diagnostic efficiency and patient management [43][44]. Group 3: Health Management and Cost Savings - Yangxi County has shifted its healthcare focus from treatment to prevention, establishing a comprehensive chronic disease management system that includes personal health records for residents [55][57]. - The county's health management initiatives have successfully reduced hospitalization costs, saving approximately 17 million yuan by preventing complications among high-risk populations [63]. - The integration of health management teams across the county has enhanced community engagement in health education and preventive care, contributing to improved overall health outcomes [65][68].

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].