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国务院《关於建立城镇职工基本医疗保险制度的决定》颁布以来，全国各地积极推行职工医疗制度改革，初步建立了城镇职工基本医疗保险制度。但在实施过程中，参保面窄，特别是困难职工群体参保难的问题十分突出。从参保人员的构成来看，绝大部分已参保者为机关事业单位工作人员
Since the promulgation of the State Council’s “Decision on Establishing the Basic Medical Insurance System for Urban Employees”, the reform of the medical system for staff and workers has been actively promoted throughout the country, and the basic medical insurance system for urban workers has been basically established. However, during the implementation process, the coverage of insurance is narrow, and the problem of difficult participation in the insurance of employees in particular is very prominent. From the composition of the insured point of view, the vast majority of those who have been insured institutions and institutions staff