diff --git a/IRaCIS.Core.Application/Service/Management/DTO/UserModel.cs b/IRaCIS.Core.Application/Service/Management/DTO/UserModel.cs
index 31330da10..414c9fa15 100644
--- a/IRaCIS.Core.Application/Service/Management/DTO/UserModel.cs
+++ b/IRaCIS.Core.Application/Service/Management/DTO/UserModel.cs
@@ -370,6 +370,10 @@ namespace IRaCIS.Application.Contracts
     public class HospitalGroupInfo
     {
         public Guid Id { get; set; }
+
+        //从人的属性角度出发才有这个属性
+        public bool? IsManager { get; set; }
+
         public string Name { get; set; }
 
         public string Code { get; set; }
diff --git a/IRaCIS.Core.Application/Service/Management/UserService.cs b/IRaCIS.Core.Application/Service/Management/UserService.cs
index 5335e2fe2..565bf5052 100644
--- a/IRaCIS.Core.Application/Service/Management/UserService.cs
+++ b/IRaCIS.Core.Application/Service/Management/UserService.cs
@@ -480,8 +480,8 @@ namespace IRaCIS.Core.Application.Service
                   .WhereIf(_userInfo.UserTypeEnumInt == (int)UserTypeEnum.OA, t => !t.UserRoleList.Any(t => t.UserTypeEnum == UserTypeEnum.Admin || t.UserTypeEnum == UserTypeEnum.SuperAdmin))
 
                    //GA 只能看有该课题组的用户，并且不是admin  oa
-                   .WhereIf(_userInfo.UserTypeEnumInt == (int)UserTypeEnum.GA, t => !t.UserRoleList.Any(t => t.UserTypeEnum == UserTypeEnum.Admin || t.UserTypeEnum == UserTypeEnum.SuperAdmin || t.UserTypeEnum == UserTypeEnum.OA)
-                                                                                    && t.IdentityUserHospitalGroupList.Any(t => _userInfo.HospitalGroupIdList.Contains(t.HospitalGroupId)))
+                   .WhereIf(_userInfo.UserTypeEnumInt == (int)UserTypeEnum.GA && _userInfo.HospitalGroupAdminIdList.Any(), t => !t.UserRoleList.Any(t => t.UserTypeEnum == UserTypeEnum.Admin || t.UserTypeEnum == UserTypeEnum.SuperAdmin || t.UserTypeEnum == UserTypeEnum.OA)
+                                                                                    && t.IdentityUserHospitalGroupList.Any(t => _userInfo.HospitalGroupAdminIdList.Contains(t.HospitalGroupId)))
                  .ProjectTo<UserListDTO>(_mapper.ConfigurationProvider);
 
             return await userQueryable.ToPagedListAsync(inQuery);
@@ -1315,6 +1315,7 @@ namespace IRaCIS.Core.Application.Service
                 HospitalGroupList = t.IdentityUser.IdentityUserHospitalGroupList.Where(t => t.IsDisabled == false).Select(t => new HospitalGroupInfo()
                 {
                     Id = t.HospitalGroupId,
+                    IsManager = t.IsManager,
                     Name = t.HospitalGroup.Name,
                     Code = t.HospitalGroup.Code
 
diff --git a/IRaCIS.Core.Application/Service/Visit/HospitalGroupService.cs b/IRaCIS.Core.Application/Service/Visit/HospitalGroupService.cs
index fd7274169..94aa77e37 100644
--- a/IRaCIS.Core.Application/Service/Visit/HospitalGroupService.cs
+++ b/IRaCIS.Core.Application/Service/Visit/HospitalGroupService.cs
@@ -48,7 +48,7 @@ public class HospitalGroupService(IRepository<HospitalGroup> _hospitalGroupRepos
                   .WhereIf(!string.IsNullOrWhiteSpace(inQuery.Affiliation), t => t.Affiliation.Contains(inQuery.Affiliation))
                   .WhereIf(!string.IsNullOrWhiteSpace(inQuery.ContactPhone), t => t.ContactPhone.Contains(inQuery.ContactPhone))
                   .WhereIf(!string.IsNullOrWhiteSpace(inQuery.ContactName), t => t.ContactName.Contains(inQuery.ContactName))
-                  .WhereIf(_userInfo.UserTypeEnumInt == (int)UserTypeEnum.GA, t => _userInfo.HospitalGroupIdList.Contains(t.Id) && t.IdentityUserList.Where(t => t.IsManager).Any(t => t.HospitalGroupId == t.Id))
+                  .WhereIf(_userInfo.UserTypeEnumInt == (int)UserTypeEnum.GA, t => _userInfo.HospitalGroupAdminIdList.Contains(t.Id))
                    .WhereIf(!string.IsNullOrWhiteSpace(inQuery.CallingAE), t => t.CallingAE.Contains(inQuery.CallingAE))
                   .WhereIf(inQuery.IsEnable != null, t => t.IsEnable == inQuery.IsEnable)
                    .ProjectTo<HospitalGroupView>(_mapper.ConfigurationProvider);
diff --git a/IRaCIS.Core.Application/Service/Visit/PatientService.cs b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
index b0dfd6277..0989156d6 100644
--- a/IRaCIS.Core.Application/Service/Visit/PatientService.cs
+++ b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
@@ -49,6 +49,7 @@ using System.Dynamic;
 using System.Threading.Channels;
 using IRaCIS.Core.Application.Helper.OtherTool;
 using IRaCIS.Core.Infrastructure.Extention;
+using NPOI.SS.Formula.Functions;
 
 
 namespace IRaCIS.Application.Services
@@ -216,8 +217,9 @@ namespace IRaCIS.Application.Services
                  //过滤医院，切换会有问题
                  .Where(t => t.HospitalId == hospitalInfo.Id)
                  //GA 要过滤课题组
-                 .WhereIf(_userInfo.UserTypeEnumInt == (int)UserTypeEnum.GA, t => _userInfo.HospitalGroupIdList.Contains(t.HospitalGroupId))
-                .WhereIf(_userInfo.UserTypeEnumInt != (int)UserTypeEnum.SuperAdmin && _userInfo.UserTypeEnumInt != (int)UserTypeEnum.Admin && _userInfo.UserTypeEnumInt != (int)UserTypeEnum.OA && _userInfo.UserTypeEnumInt != (int)UserTypeEnum.GA
+                 .WhereIf(_userInfo.UserTypeEnumInt == (int)UserTypeEnum.GA && _userInfo.HospitalGroupAdminIdList.Any(), t => _userInfo.HospitalGroupAdminIdList.Contains(t.HospitalGroupId))
+                .WhereIf(_userInfo.UserTypeEnumInt != (int)UserTypeEnum.SuperAdmin && _userInfo.UserTypeEnumInt != (int)UserTypeEnum.Admin && _userInfo.UserTypeEnumInt != (int)UserTypeEnum.OA
+                && !(_userInfo.UserTypeEnumInt == (int)UserTypeEnum.GA && _userInfo.HospitalGroupAdminIdList.Any())
                   , t => t.TrialUserRoleList.Any(t => t.UserId == _userInfo.UserRoleId) && t.TrialIdentityUserList.Any(t => t.IdentityUserId == _userInfo.IdentityUserId) && _userInfo.HospitalGroupIdList.Contains(t.HospitalGroupId))
                 .ProjectTo<NewTrialView>(_mapper.ConfigurationProvider);
 
@@ -823,7 +825,7 @@ namespace IRaCIS.Application.Services
                 }
                 else
                 {
-                    item.CurrentUserHospitalGroupList = _userInfo.HospitalGroupList.Select(t => new HospitalGroupInfo() { Id = t.Id, Code = t.Code, Name = t.Name }).ToList();
+                    item.CurrentUserHospitalGroupList = _userInfo.HospitalGroupList.Select(t => new HospitalGroupInfo() { Id = t.Id, Code = t.Code, Name = t.Name, IsManager = t.IsManager }).ToList();
 
                 }
             }
@@ -3511,7 +3513,7 @@ namespace IRaCIS.Application.Services
                     }
                     else
                     {
-                        item.CurrentUserHospitalGroupList = _userInfo.HospitalGroupList.Select(t => new HospitalGroupInfo() { Code = t.Code, Id = t.Id, Name = t.Name }).ToList();
+                        item.CurrentUserHospitalGroupList = _userInfo.HospitalGroupList.Select(t => new HospitalGroupInfo() { Code = t.Code, Id = t.Id, Name = t.Name, IsManager = t.IsManager }).ToList();
 
                     }
                 }
diff --git a/IRaCIS.Core.Infra.EFCore/AuthUser/IUserInfo.cs b/IRaCIS.Core.Infra.EFCore/AuthUser/IUserInfo.cs
index f6d8ed012..7f1a762e7 100644
--- a/IRaCIS.Core.Infra.EFCore/AuthUser/IUserInfo.cs
+++ b/IRaCIS.Core.Infra.EFCore/AuthUser/IUserInfo.cs
@@ -7,6 +7,7 @@ namespace IRaCIS.Core.Domain.Share
     /// </summary>
     public interface IUserInfo
     {
+        List<Guid> HospitalGroupAdminIdList { get; }
         List<Guid> HospitalGroupIdList { get; }
         List<HospitalGroupInfo> HospitalGroupList { get; }
         Guid UserRoleId { get; }
diff --git a/IRaCIS.Core.Infra.EFCore/AuthUser/UserInfo.cs b/IRaCIS.Core.Infra.EFCore/AuthUser/UserInfo.cs
index 16a769593..fc619df85 100644
--- a/IRaCIS.Core.Infra.EFCore/AuthUser/UserInfo.cs
+++ b/IRaCIS.Core.Infra.EFCore/AuthUser/UserInfo.cs
@@ -47,14 +47,14 @@ namespace IRaCIS.Core.Domain.Share
             }
         }
 
-        public List<HospitalGroupInfo> HospitalGroupList 
+        public List<HospitalGroupInfo> HospitalGroupList
         {
             get
             {
                 var hospitalGroupList = _accessor?.HttpContext?.User?.FindFirst(JwtIRaCISClaimType.HospitalGroupList);
                 if (hospitalGroupList != null && !string.IsNullOrEmpty(hospitalGroupList.Value))
                 {
-                    return (List<HospitalGroupInfo>) hospitalGroupList.Value.JsonStrToObject(typeof(List<HospitalGroupInfo>));
+                    return (List<HospitalGroupInfo>)hospitalGroupList.Value.JsonStrToObject(typeof(List<HospitalGroupInfo>));
                 }
                 return new List<HospitalGroupInfo>();
             }
@@ -62,6 +62,10 @@ namespace IRaCIS.Core.Domain.Share
 
         public List<Guid> HospitalGroupIdList => HospitalGroupList.Select(x => x.Id).ToList();
 
+        public List<Guid> HospitalGroupAdminIdList => HospitalGroupList.Where(t => t.IsManager).Select(x => x.Id).ToList();
+
+
+
         public Guid UserTypeId
         {
             get
@@ -319,6 +323,9 @@ namespace IRaCIS.Core.Domain.Share
         public class HospitalGroupInfo
         {
             public Guid Id { get; set; }
+
+            public bool IsManager { get; set; }
+
             public string Name { get; set; }
 
             public string Code { get; set; }