目的：通过对医保患者入出院服务流程的优化，提高患者办理入出院流程的效率，提高满意度。方法：分析某公立三甲医院医保患者入出院价值流程，计算有效时间占比，找出引起效率低下的原因并提出改进办法。结果：优化流程后，医保患者入院流程有效时间占比由20%提升至36%，出院流程有效时间占比由9%提升至29%。结论：对公立医院医保患者入出院服务流程的优化，可明显提高患者办理入出院流程的效率，提升医疗服务质量。

Objective：To improve the efficiency and the satisfaction of patient admission and discharge process through optimizing the service flow of medicare patients in a public Grade level A hospital. Methods：We calculated the effective time proportion to find out the causes of low efficiency and put forward the improvement measures. Result：After optimizing the process，the effective time ratio of admission process for medicare patients increased from 20% to 36%，and the effective time ratio of discharge process increased from 9% to 29%. Conclusion：The optimization of the service flow of insured patients in public hospitals can significantly improve the efficiency of patient admission and discharge process and improve the quality of medical services.