【摘要】 我国全民参保政策在执行中仍存在“应保尽保”尚未实现、参保质量有待提升等问题。基于史密斯政策执行模型的研究发现，我国全民参保政策执行的制约因素包括：政策顶层设计、特殊人群参保政策与理想化政策之间有差距，执行主体对政策目标的理解有偏差，未参保人群精准识别机制和重复参保筛查机制有待完善，部分边缘困难人群参保负担过重，以及全民参保缺乏强制性保障等。对此，需要采取相应的治理措施，推进全民参保政策的执行和全民参保目标的实现。更多还原

【Abstract】 At present, there are still problems in the implementation of universal insurance policy in China, such as "sufficient coverage" has not been fully realized, and the quality of insurance participation needs to be improved. Based on Smith policy implementation model, the constraints in the implementation of universal insurance policy include the gap between the top-level design of the policy, the insurance policy for special populations and the idealized policy, the biased understanding of the policy objectives by the implementation subjects, the need to improve the precise identification mechanism of the uninsured population and the screening mechanism for duplicated participation, the excessive burden of participation on some marginalized and difficult populations, and the lack of mandatory guarantees for the universal coverage. In this regard, it is necessary to take corresponding governance measures to promote the implementation of the universal insurance policy and the realization of the goal of universal insurance.更多还原