全文获取类型
收费全文 | 56739篇 |
免费 | 4337篇 |
国内免费 | 618篇 |
专业分类
耳鼻咽喉 | 249篇 |
儿科学 | 772篇 |
妇产科学 | 870篇 |
基础医学 | 1614篇 |
口腔科学 | 704篇 |
临床医学 | 12030篇 |
内科学 | 4242篇 |
皮肤病学 | 333篇 |
神经病学 | 1206篇 |
特种医学 | 681篇 |
外国民族医学 | 1篇 |
外科学 | 4822篇 |
综合类 | 9873篇 |
现状与发展 | 4篇 |
一般理论 | 5篇 |
预防医学 | 17376篇 |
眼科学 | 251篇 |
药学 | 4559篇 |
151篇 | |
中国医学 | 923篇 |
肿瘤学 | 1028篇 |
出版年
2024年 | 80篇 |
2023年 | 1029篇 |
2022年 | 1592篇 |
2021年 | 2605篇 |
2020年 | 3270篇 |
2019年 | 2058篇 |
2018年 | 1918篇 |
2017年 | 2021篇 |
2016年 | 2104篇 |
2015年 | 2114篇 |
2014年 | 5187篇 |
2013年 | 4788篇 |
2012年 | 4547篇 |
2011年 | 4399篇 |
2010年 | 3599篇 |
2009年 | 3015篇 |
2008年 | 3041篇 |
2007年 | 2642篇 |
2006年 | 2390篇 |
2005年 | 1829篇 |
2004年 | 1556篇 |
2003年 | 1283篇 |
2002年 | 844篇 |
2001年 | 689篇 |
2000年 | 555篇 |
1999年 | 403篇 |
1998年 | 389篇 |
1997年 | 296篇 |
1996年 | 261篇 |
1995年 | 177篇 |
1994年 | 154篇 |
1993年 | 145篇 |
1992年 | 99篇 |
1991年 | 122篇 |
1990年 | 72篇 |
1989年 | 52篇 |
1988年 | 49篇 |
1987年 | 46篇 |
1986年 | 34篇 |
1985年 | 59篇 |
1984年 | 40篇 |
1983年 | 32篇 |
1982年 | 23篇 |
1981年 | 24篇 |
1980年 | 26篇 |
1979年 | 10篇 |
1978年 | 10篇 |
1977年 | 4篇 |
1976年 | 8篇 |
1974年 | 2篇 |
排序方式: 共有10000条查询结果,搜索用时 78 毫秒
51.
52.
Rocco Spagnuolo Alessandro Corea Mariantonietta Blumetti Alessia Giovinazzo Massimiliano Serafino Caterina Pagliuso Raffaele Pagnotta Grazia Curto Cristina Cosco Vincenzo Cosco Rosellina Margherita Mancina Pietro Garieri Anna Papaleo Laura Grande Anna Barilaro Eugenio Garofalo Andrea Bruni Patrizia Doldo 《Journal of advanced nursing》2020,76(11):2993-3002
53.
《The Journal of arthroplasty》2020,35(3):725-731
BackgroundConsiderable practice variability exists among orthopedic surgeons performing total knee arthroplasty (TKA). The purpose of this study is to understand what TKA surgical and perioperative techniques are standard among high-volume academic knee arthroplasty surgeons.MethodsA written survey with 59 questions regarding management preferences in TKA was distributed by the 2018 John N. Insall Traveling Fellows to all arthroplasty-trained attending physicians at 13 medical centers, with 45 responses recorded.ResultsSurveyed surgeons performed unicompartmental knee arthroplasty (88%) and bilateral TKA (87%). Most surveyed surgeons rarely or never performed outpatient primary TKA (71%). Conventional alignment guides and cemented implants were used by 80% of respondents. Most surgeons used posterior-stabilized implants (67%), followed by cruciate-retaining (20%), ultracongruent (20%), and medial congruent or medial pivot designs (17.8%). Surveyed surgeons frequently or always resurfaced the patella (73%), used a tourniquet for the entire case (73%), and used tranexamic acid for all TKAs (91%). The most common locations for intra-articular anesthetic injection were the arthrotomy (91%), the periosteum (84%), and the medial posterior capsule (82%). Saline (62%) and dilute iodine (47%) were the most common irrigation fluids. The arthrotomy was most commonly closed with running barbed suture (60%) followed by interrupted vicryl (40%). Skin closure was predominantly with running monocryl (60%) followed by staples (29%). Anticoagulation for TKA was primarily aspirin 81 mg BID (60%).ConclusionThere was considerable variability among surgeons polled although a strong preference for more conventional and less developmental techniques prevailed. 相似文献
54.
[目的]探讨护理质量控制中心在提升基层医院护理质量和管理水平的作用。[方法]护理质量控制中心指导基层医院建立完善的质量控制标准、质量评价体系,协助制订护士培训、检查、考核计划,并行使护理质量控制中心的监督、管理职责,促使各项制度得到有效落实。[结果]在护理质量控制中心的指导下,基层医院的护理管理体系、管理制度、评价体系逐步完善,护理人员业务水平、病人满意度及健康知识知晓率得到提升(P<0.05)。[结论]护理质量控制中心能在基层医院的护理质量管理中发挥积极作用。 相似文献
55.
通过探讨DRG支付方式改革下医院财务管理的应对策略,可以有效地降低医疗支付方式改革对医院财务管理的负面影响,促使医院财务管理在"危"与"机"的转换中抢抓机遇,促进医院财务管理提质增效。 相似文献
56.
57.
Suzanne M. Gillespie Andrea L. Moser Murthy Gokula Thomas Edmondson Joseph Rees Dallas Nelson Steven M. Handler 《Journal of the American Medical Directors Association》2019,20(2):115-122
Objectives
This document offers guidance to clinicians and facilities on the use of telemedicine to deliver medically necessary evaluation and management of change of condition for nursing home residents.Settings and participants
Members of the telemedicine workgroup of AMDA—The Society for Post-Acute Long-Term Medicine-developed this guideline through both telephonic and face-to-face meetings between April 2017 and September 2018. The guideline is based on the currently available research, experience, and expertise of the workgroup's members, including a summary of a recently completed systematic mixed studies literature review to determine evidence for telemedicine to reduce emergency department visits or hospitalizations of nursing home residents.Results
Research and experience to date support the use of telemedicine as a tool in change of condition assessment and management as a means of reducing unnecessary emergency department visits and hospitalization. Telemedicine-delivered care should be integrated into the primary care of the resident and delivered by providers with competency in post-acute long-term care. The development and sustainability of telemedicine programs is heavily dependent on financial implications. Quality measures should be defined for telemedicine programs in nursing homes.Conclusions/Implications
Telemedicine programs in nursing homes can contribute to the delivery of timely, high quality medical care, which reduces unnecessary hospitalization. Reimbursement for telemedicine-driven care should be based upon medical necessity of visits to care and the maintenance of quality standards. More studies are needed to understand which telemedicine tools and processes are most effective in improving outcomes for nursing home residents. 相似文献58.
59.
60.
《Gaceta sanitaria / S.E.S.P.A.S》2022,36(3):278-282
Continuous management improvement should be an aspiration for all public sector organizations. External comparison or benchmarking identifies good practices in similar organizations. For public health services, it is not easy to obtain such indicators. The objectives of this paper are to describe the process of conducting a benchmarking exercise for a public health agency, and to share its results. For this purpose, agencies that may be compared were identified, and their websites were searched for annual reports or other documents with indicators of the activities or results of public health services. Limitations and contextual aspects of the indicators of the different organizations were identified, as well as ways to improve their comparability. Finally, a set of 19 indicators is proposed, as an initial core for quality management comparisons. 相似文献