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Finding these optimization opportunities can itself be a significant undertaking. It requires end-to-end understanding of the spec to identify which behaviors are observable and which can safely be elided. Even then, whether a given optimization is actually spec-compliant is often unclear. Implementers must make judgment calls about which semantics they can relax without breaking compatibility. This puts enormous pressure on runtime teams to become spec experts just to achieve acceptable performance.
它的本质，是“社区主导+专业管理”的结合——既有居民的参与和认同，又有专业医疗体系的支撑，最终实现了“老人在社区，就能享受到优质医疗服务”的目标。