Objective: This study aims to explore the current state and challenges of managing electronic quick payment methods within the financial settlement processes of general hospitals, specifically in the context of sports medicine departments. Additionally, it proposes specific optimization strategies to enhance efficiency and security. Methods: The study analyzed the advantages of electronic payment systems within the financial operations of sports medicine services in general hospitals, clarifying the value of quick payment methods in this specialized field. It then delved into the application status, existing problems, and challenges associated with electronic quick payments, focusing on issues pertinent to sports medicine. Based on these insights, targeted optimization paths were developed. Results: The implementation of electronic payment methods in sports medicine departments of general hospitals revealed several issues, including departmental information silos, mismatches between settlement processes and electronic payment systems, and security risks. Moreover, the study identified challenges such as the need for higher levels of hospital information management and robust internal controls. The proposed optimization strategies include enhancing the functionality of hospital medical cards to enable a seamless "one-card" system, optimizing settlement processes within sports medicine departments, strengthening electronic payment security, improving hospital information systems, and reinforcing internal controls. Conclusion: Despite the benefits of electronic quick payments, there are still significant risks and challenges in their application within the financial settlements of sports medicine departments in general hospitals. Strengthening the management of these systems can facilitate their effective use and ensure the financial security of hospital operations, particularly in the specialized area of sports medicine.