Core Viewpoint - The article highlights the significant improvements in healthcare accessibility and quality in Yumen City, Gansu Province, through the implementation of a "four down" strategy, which focuses on the decentralization of medical resources to grassroots levels, making healthcare services more convenient and efficient for the local population [1][6]. Group 1: Personnel Decentralization - The initiative includes the deployment of medical experts to local health facilities, ensuring that each village clinic has qualified medical personnel available [2]. - A mobile medical team consisting of 65 city-level medical experts has conducted 28 outreach events, providing services to 56,000 residents in their communities [2]. Group 2: Technological Decentralization - Advanced medical equipment, such as ultrasound machines and portable ECG devices, have been made available in local clinics, enhancing diagnostic capabilities [3]. - The establishment of a "cloud-based radiology" system allows for rapid transmission of diagnostic data from grassroots facilities to city hospitals, with over 46,000 remote diagnoses completed, significantly improving accuracy and efficiency [3]. Group 3: Service Decentralization - Family doctors are providing home-based health services, effectively addressing the healthcare needs of the community and reducing overall medical costs by more than 50% [4]. - The mutual recognition of 300 types of examination results within the county has led to a patient satisfaction rate of 96% for the "village examination, county diagnosis, village treatment" model [4]. Group 4: Management Decentralization - The implementation of unified management practices across various operational aspects has improved the standardization and efficiency of grassroots healthcare institutions [5]. - Regular quality checks and training programs have been established to enhance the capabilities of local healthcare providers, ensuring better service delivery [5].