Healthcare security electronic certificateis an important component of the nation-unified healthcare security information system. Compared with security security card, ID card, it has more advantages as a medical insurance identity recognition medium, integrating multiple e-government services in the healthcare security field. Based on the philosophy, characteristics, advantages, progress of HSEC, this paper puts forward the suggestions for the popularization of HSEC, broadening the application scenarios, exploring more regional experience in the future to solve the problems in application