全文获取类型
收费全文 | 1985篇 |
免费 | 63篇 |
国内免费 | 14篇 |
专业分类
耳鼻咽喉 | 6篇 |
儿科学 | 49篇 |
妇产科学 | 67篇 |
基础医学 | 265篇 |
口腔科学 | 36篇 |
临床医学 | 400篇 |
内科学 | 213篇 |
皮肤病学 | 6篇 |
神经病学 | 212篇 |
特种医学 | 19篇 |
外科学 | 173篇 |
综合类 | 79篇 |
一般理论 | 10篇 |
预防医学 | 363篇 |
眼科学 | 5篇 |
药学 | 70篇 |
1篇 | |
中国医学 | 14篇 |
肿瘤学 | 74篇 |
出版年
2024年 | 17篇 |
2023年 | 133篇 |
2022年 | 113篇 |
2021年 | 207篇 |
2020年 | 147篇 |
2019年 | 95篇 |
2018年 | 114篇 |
2017年 | 89篇 |
2016年 | 60篇 |
2015年 | 49篇 |
2014年 | 73篇 |
2013年 | 141篇 |
2012年 | 77篇 |
2011年 | 50篇 |
2010年 | 44篇 |
2009年 | 72篇 |
2008年 | 90篇 |
2007年 | 78篇 |
2006年 | 70篇 |
2005年 | 49篇 |
2004年 | 60篇 |
2003年 | 56篇 |
2002年 | 33篇 |
2001年 | 29篇 |
2000年 | 23篇 |
1999年 | 13篇 |
1998年 | 10篇 |
1997年 | 15篇 |
1996年 | 10篇 |
1994年 | 9篇 |
1993年 | 4篇 |
1992年 | 4篇 |
1991年 | 1篇 |
1990年 | 6篇 |
1988年 | 3篇 |
1987年 | 6篇 |
1986年 | 1篇 |
1985年 | 3篇 |
1984年 | 4篇 |
1980年 | 1篇 |
1979年 | 3篇 |
排序方式: 共有2062条查询结果,搜索用时 390 毫秒
1.
Lauren Thaete 《Progress in Palliative Care》2019,27(1):10-13
Effective communication between clinicians, patients, and families at end of life is associated with better clinical outcomes. A large body of literature describes the key skills needed for effective communication. We believe that clinicians could also benefit from communication skills more commonly associated with business or law negotiations. We will demonstrate via analogy (i.e. buying a house) how four key business/law negotiation techniques – 1. Determine your Reservation and Aspiration Value; 2. Separate People from their Positions; 3. Separate Positions from Interests; and 4. Logrolling of Interests – can be applied to a difficult family meeting in a home hospice patient. 相似文献
2.
3.
D M McSherry 《Statistics in medicine》1986,5(5):497-502
The independence Bayesian model has been used widely in computer programs designed to support clinical decision-making. A reasoning strategy has been developed to enable these programs to conduct clinically pertinent dialogue and explain their reasoning. It has been implemented in a program for the diagnosis of acute abdominal pain based on the Bayesian model of de Dombal et al. Several features of the dialogue design have been adopted from artificial intelligence research, including shared initiative and critiquing. The program adopts a flexible goal-driven strategy, attempting to confirm the clinician's diagnosis or rule out the likeliest alternative. Symptoms and signs are selected in order of their expected weights of evidence in favour of the hypothesized disease. 相似文献
4.
5.
Critical care nurses, ethical decision-making and stress 总被引:2,自引:0,他引:2
Considerable attention has focused on describing ethical issues that critical care nurses face in their practice; however, less attention has been directed at describing the process of ethical decision-making. Systematic research linking aspects of ethical-decision making and stress is lacking. This cross-sectional study examines the relationship between selected aspects of ethical decision-making, stress and selected nurse characteristics. Sixty-one critical care nurses completed the Nurse's Ethical Decision Making—ICU Questionnaire and the Health Professions Stress Inventory. Findings revealed that nurses who selected the patient advocacy model had significantly higher nurse autonomy scores, that perceived anxiety had a negative association with nurse autonomy, and that workplace restrictions and stress were related. 相似文献
6.
循证医学决策模式的建立与应用 总被引:1,自引:1,他引:0
循证医学决策模式是建立在对客观的医学研究证据,长期的临床工作经验,及不同患的医疗需求进行综合分析基础上的最佳医疗方案。其建立和应用对提高医疗质量,改善医疗服务质量具有重要意义。树立循证医学决策意识,建立循证医学决策系统,实施循证医学决策管理将为军队医疗系统实现全面品质管理提供可靠依据。 相似文献
7.
Dawn Stacey RN MScN CON Annette M. O'Connor RN PhD † Cathy DeGrasse RN MScN ‡ Shailendra Verma MD FRCP § 《Health expectations》2003,6(1):3-18
Objective To develop and evaluate the effectiveness of a breast cancer prevention decision aid for women aged 50 and older at higher risk of breast cancer. Design Pre‐test–post‐test study using decision aid alone and in combination with counselling. Setting Breast Cancer Risk Assessment Clinic. Participants Twenty‐seven women aged 50–69 with 1.66% or higher 5‐year risk of breast cancer. Intervention Self‐administered breast cancer prevention decision aid. Main outcome measures Acceptability; decisional conflict; knowledge; realistic expectations; choice predisposition; intention to improve life‐style practices; psychological distress; and satisfaction with preparation for consultation. Results The decision aid alone, or in combination with counselling, decreased some dimensions of decisional conflict, increased knowledge (P < 0.01), and created more realistic expectations (P < 0.01). The aid in combination with counselling, significantly reduced decisional conflict (P < 0.01) and psychological distress (P < 0.02), helped the uncertain become certain (P < 0.02), and increased intentions to adopt healthier life‐style practices (P < 0.03). Women rated the aid as acceptable, and both women and practitioners were satisfied with the effect it had on the counselling session. Conclusion The decision aid shows promise as a useful decision support tool. Further research should compare the effect of the decision aid in combination with counselling to counselling alone. 相似文献
8.
Decision-making and paediatric pain: a review 总被引:1,自引:0,他引:1
The aim of this paper is to present an overview of the literature on the factors influencing decision-making the nursing care of children in pain. To that effect published and unpublished references werr reviewed. The most frequently cited factors influencing the assessment and management of pain in children are summarized and discussed. Finally recommendations are made where further research is warranted. 相似文献
9.
背景 运动为防治绝经后骨质疏松症经济有效的干预措施之一,但目前其相关证据内容广泛且分散,临床尚无规范、全面的运动指导方案。目的 检索、评价并总结绝经后骨质疏松症患者运动干预的最佳证据。方法 系统检索BMJ Best Practice、Up To Date临床顾问、Dyna Med,英国国家临床医学研究所指南网、国际指南网、苏格兰学院间指南网、美国指南网,加拿大安大略注册护士协会、国际骨质疏松症基金会、英国皇家骨质疏松协会、美国骨质疏松症基金会、澳大利亚皇家全科医师学院、美国妇产科医师学会、加拿大妇产科医师协会、医脉通、澳大利亚乔安娜循证研究所网站,Cochrane Library、CINAHL、Web of Science、PubMed、Embase、中国知网、中国生物医学文献服务系统中关于绝经后骨质疏松症运动干预的临床实践指南、临床决策、证据总结、专家共识、系统评价。检索时限为建库至2022年1月。采用临床指南研究与评价系统(AGREEⅡ)对指南进行质量评价,采用证据总结评价工作表(CASE)对临床决策进行质量评价,采用澳大利亚JBI循证卫生保健中心专家共识的真实性评价工具(2016... 相似文献
10.
Studies from the last decade on factors influencing reproductive planning after genetic counselling were reviewed. Increased possibilities of DNA-analysis and prenatal diagnosis might have brought about a shift in the paramountcy of factors influencing reproductive planning after genetic counselling. In contrast to the literature in the seventies, the magnitude of the genetic risk was no longer found to be one of the decisive factors in postcounselling reproductive planning. Instead, the interpretation of the risk as high or low and the desire to have children appeared to be paramount. The impact of new developments in DNA-analysis in prenatal diagnosis and presymptomatic testing will be an important subject for future studies on factors influencing reproductive planning. 相似文献