中文摘要：

[目的]探讨西部农村地区农民卫生服务利用的季节变动规律,为进一步改革和完善农村卫生服务体系和农村医疗保障制度提供依据。[方法]利用农村互助医疗试点乡2004～2006年的医疗机构数据库资料,采用时间序列数据季节指数分析法进行分析。[结果]农村互助医疗试点乡1～4季度门诊就诊率的季节指数分别为131.57%、109.67%、84.08%、74.67%,住院率季节指数分别为105.85%、94.6%、84.09%、123.62%。同时,不同月份和不同试点乡的季节指数也存在一定差异。[结论]农村居民卫生服务利用的季节性波动应引起基层卫生服务机构的重视,并相应调整卫生资源的分配,以保证卫生资源的高效利用。

英文摘要：

[ Objective ] To explore the seasonal regularity of utilization of rural mutual health care services, so as to provide basis for further reforming and improve the rural health service system and rural medical care assurance. [Methods] Time sequential data seasonal index analysis was conducted to analyze data collected from medical establishment of trial towns with rural mutual health care （RMHC） from 2004 and 2006. [ Results] The consuhation rates form the first quarter to the forth quarter in trial towns with RMHC were 131.57%, 109.67%, 84.08% and 74.67%, respectively, while the hospitalization rates were 105.85%, 94.6%, 84.09% and 123.62%, respectively. Meanwhile, the seasonal indexes had significantly difference in different months and different trial towns. [Conclusion] More emphasis from the primary medical establishment should be paid to the seasonal fluctuation of utilization of RMHC. And the allocation of health resources should be adjusted to ensure the high effective utilization of health resources.