收费全文 | 4790898篇 |
免费 | 376433篇 |
国内免费 | 15138篇 |
耳鼻咽喉 | 67598篇 |
儿科学 | 154482篇 |
妇产科学 | 128345篇 |
基础医学 | 719662篇 |
口腔科学 | 133587篇 |
临床医学 | 440451篇 |
内科学 | 865085篇 |
皮肤病学 | 118146篇 |
神经病学 | 397978篇 |
特种医学 | 188618篇 |
外国民族医学 | 934篇 |
外科学 | 722643篇 |
综合类 | 133856篇 |
现状与发展 | 25篇 |
一般理论 | 2762篇 |
预防医学 | 391576篇 |
眼科学 | 114039篇 |
药学 | 347570篇 |
24篇 | |
中国医学 | 12886篇 |
肿瘤学 | 242202篇 |
2021年 | 51027篇 |
2019年 | 59243篇 |
2018年 | 75913篇 |
2017年 | 57996篇 |
2016年 | 64389篇 |
2015年 | 76856篇 |
2014年 | 111255篇 |
2013年 | 177040篇 |
2012年 | 138298篇 |
2011年 | 145606篇 |
2010年 | 130425篇 |
2009年 | 130654篇 |
2008年 | 130955篇 |
2007年 | 140350篇 |
2006年 | 148100篇 |
2005年 | 142015篇 |
2004年 | 142699篇 |
2003年 | 132367篇 |
2002年 | 120969篇 |
2001年 | 194189篇 |
2000年 | 190200篇 |
1999年 | 169860篇 |
1998年 | 69187篇 |
1997年 | 64006篇 |
1996年 | 62021篇 |
1995年 | 62812篇 |
1994年 | 56682篇 |
1993年 | 52497篇 |
1992年 | 124916篇 |
1991年 | 119793篇 |
1990年 | 115552篇 |
1989年 | 112538篇 |
1988年 | 103250篇 |
1987年 | 100926篇 |
1986年 | 95383篇 |
1985年 | 92618篇 |
1984年 | 75177篇 |
1983年 | 65917篇 |
1982年 | 50093篇 |
1981年 | 46186篇 |
1980年 | 43312篇 |
1979年 | 64735篇 |
1978年 | 50503篇 |
1977年 | 45106篇 |
1976年 | 41308篇 |
1975年 | 42373篇 |
1974年 | 46612篇 |
1973年 | 44700篇 |
1972年 | 42109篇 |
1971年 | 38986篇 |
Objective
The aim was to identify healthcare payment and financing reforms to promote health equity and ways that the Agency for Healthcare Research and Quality (AHRQ) may promote those reforms.Data Sources and Study Setting
AHRQ convened a payment and financing workgroup–the authors of this paper–as part of its Health Equity Summit held in July 2022. This workgroup drew from its collective experience with healthcare payment and financing reform, as well as feedback from participants in a session at the Health Equity Summit, to identify the evidence base and promising paths for reforms to promote health equity.Study Design
The payment and financing workgroup developed an outline of reforms to promote health equity, presented the outline to participants in the payment and financing session of the July 2022 AHRQ Health Equity Summit, and integrated feedback from the participants.Data Collection/Extraction Methods
This paper did not require novel data collection; the authors collected the data from the existing evidence base.Principal Findings
The paper outlines root causes of health inequity and corresponding potential reforms in five domains: (1) the differential distribution of resources between healthcare providers serving different communities, (2) scarcity of financing for populations most in need, (3) lack of integration/accountability, (4) patient cost barriers to care, and (5) bias in provider behavior and diagnostic tools.Conclusions
Additional research is necessary to determine whether the proposed reforms are effective in promoting health equity. 相似文献Involvement of community health workers (CHWs) within task-sharing to bridge the mental health treatment gap has been proven to be efficacious in randomized controlled trials. The impact of mental health programs based on task-sharing paradigm greatly depends on the performance of CHWs which, in-turn, is influenced by their readiness for change. However, there is dearth of literature assessing the role of readiness for change as an important predicator of CHW performance. The aim of this study is to examine the applicability of the readiness for change model and investigate its cultural and contextual nuances among Accredited Social Health Activists (ASHAs), a cadre of CHWs in India, to understand their engagement in mental health task-sharing. We conducted in-depth, semi-structured interviews with a purposive sample of n?=?12 key informants including ASHAs and other healthcare professionals in Sehore district, India. The interview guide consisted of open-ended questions based on the readiness for change factors including ASHAs’ attitudes towards their role in mental health care, perception of capability to implement mental health task-sharing, of support from the public health system, etc. Framework analysis with a combined inductive-deductive approach was employed to code the data and generate themes. Participants endorsed three readiness for change themes relevant to task-sharing among ASHAs including change valence or value ascribed to task-sharing, change-efficacy or the perceived ability to implement task-sharing, and job valence or value ascribed to their regular job role. In addition, they provided insights into the culturally and contextually salient aspects of these factors. Themes of personal empowerment, gaining respect and trust from community, professional duty, relationship with supervisors, and lack of resources availability were majorly highlighted. This is the first study to qualitatively investigate the applicability of the readiness for change model and its culture- and context-specific nuances among a cadre of non-specialist health workers in India. Our findings posit that implementation science models should strongly consider the culture and context within which they are being applied to enhance fit and relevance. Further, our results should be taken into consideration to adapt and validate measurement tools and build readiness for change in this population.
相似文献