目的:探讨不同医疗保障制度对嘉兴地区老年人心理健康状况的影响。方法:随机抽取嘉兴市城乡老年人283人,根据医保类型不同分为城镇医保和合作医疗两组,分别采用问卷法进行调查。结果:城镇医保组老年人在生活满意度,主观幸福感问卷上得分显著高于合作医疗组,在老年抑郁量表上得分显著低于合作医疗组;多元线性回归分析显示,医保类型对老年人心理健康水平的预测力远佳于人口学因素。结论:不同医疗保障制度对老年人心理健康状况有显著影响作用,其预测老年人心理健康水平的能力远高于人口学变量。 Objective: To explore the impact of different medical insurance system on the mental health of the elderly in Jiaxing. Methods: A total of 283 elderly people in urban and rural areas of Jiaxing City were randomly selected and divided into two groups according to the types of health insurance: urban medical insurance and cooperative medical care. The questionnaires were used to investigate the cases respectively. Results: Elderly people in urban medical insurance group scored significantly higher on life satisfaction and subjective well-being questionnaire than the cooperative medical care group, and scored significantly lower on the elderly depression scale than the cooperative medical care group. Multivariate linear regression analysis showed that the health insurance type had significant effect on the elderly The predictive power of mental health is far better than the demographic factors. Conclusion: Different medical insurance systems have a significant effect on the mental health status of the elderly, and their ability to predict the mental health of the elderly is much higher than the demographic variables.