Research on the medical resource redundancy status and its impact on medical expenses in tertiary public general hospitals in Beijing

Song Xinrui; Zhou Xiaoping; Zhu Junli

doi:10.3760/j.issn.1673-4777.2026.02.022

Abstract：Objective To measure the medical resource redundancy status in public hospitals and its impact on medical expenses,so as to provide theoretical and practical basis for managers to effectively measure and utilize redundant resources to reasonably control medical expenses.Methods Based on the organizational redun-dancy theory,a total of 34 tertiary public general hospitals in Beijing from 2018 to 2022 were selected as the research objects.The ratio method was used to measure the redundancy status of bed,doctor and nurse resources,and a panel model was constructed to empirically analyze the impact of medical resource redundancy on medical expenses.Results 44.12％-58.82％of the hospitals were in a non-redundant state,20.59％-47.06％were in a low-redundant state,and 5.88％-23.53％were in a high-redundant state.There was a positive linear relationship between redundant resources and average cost per visit.The redundant resources of doctors and beds had a U-shaped relationship with average cost per case,while the redundant resources of nurses had an inverted S-shaped relationship with average cost per case.Conclusions Some tertiary public general hospitals in Beijing have medical resource redundancy,and when the redundant resources increase to a certain range,medical expenses will increase.Public hospitals should adhere to their public welfare,scientifically allocate resources on the basis of fully measuring medical needs,prevent excessive growth of medical resources,reasonably control medical expenses,and assume corresponding social responsibilities.