全文获取类型
收费全文 | 127篇 |
免费 | 39篇 |
专业分类
耳鼻咽喉 | 2篇 |
儿科学 | 1篇 |
基础医学 | 1篇 |
口腔科学 | 22篇 |
临床医学 | 43篇 |
内科学 | 40篇 |
皮肤病学 | 2篇 |
特种医学 | 6篇 |
外科学 | 8篇 |
预防医学 | 33篇 |
眼科学 | 1篇 |
肿瘤学 | 7篇 |
出版年
2023年 | 6篇 |
2022年 | 3篇 |
2021年 | 3篇 |
2020年 | 5篇 |
2018年 | 8篇 |
2017年 | 9篇 |
2016年 | 8篇 |
2015年 | 11篇 |
2014年 | 10篇 |
2013年 | 9篇 |
2012年 | 2篇 |
2011年 | 5篇 |
2010年 | 4篇 |
2009年 | 13篇 |
2008年 | 5篇 |
2007年 | 9篇 |
2006年 | 4篇 |
2005年 | 1篇 |
2004年 | 4篇 |
2003年 | 7篇 |
2002年 | 4篇 |
2001年 | 2篇 |
2000年 | 6篇 |
1999年 | 4篇 |
1998年 | 7篇 |
1997年 | 2篇 |
1996年 | 2篇 |
1995年 | 1篇 |
1994年 | 5篇 |
1992年 | 2篇 |
1988年 | 1篇 |
1987年 | 2篇 |
1985年 | 1篇 |
1984年 | 1篇 |
排序方式: 共有166条查询结果,搜索用时 0 毫秒
61.
The experiences of risk managers in providing emotional support for health care workers after adverse events 下载免费PDF全文
Hanan Edrees DrPH MHSA Douglas M. Brock PhD Albert W. Wu MD MPH Patricia I. McCotter RN JD CPC Ron Hofeldt MD Sarah E. Shannon PhD RN Thomas H. Gallagher MD Andrew A. White MD 《Journal of healthcare risk management》2016,35(4):14-21
Risk managers often meet with health care workers who are emotionally traumatized following adverse events. We surveyed members of the American Society for Health care Risk Management (ASHRM) about their training, experience, competence, and comfort with providing emotional support to health care workers. Although risk managers reported feeling comfortable and competent in providing support, nearly all respondents prefer to receive additional training. Risk managers who were comfortable listening to and supporting health care workers were more likely to report prior training. Health care organizations implementing second victim support programs should not rely solely on risk managers to provide support, rather engage and train interested risk managers and provide them with opportunities to practice. 相似文献
62.
Association Between Results of Quality Assessment of Long‐Term Care Facilities and Hospital‐Acquired Pneumonia in Individuals with Stroke or Neurodegenerative Disease in Korea 下载免费PDF全文
Seung J. Kim RN Kyu‐Tae Han Sun J. Kim MHSA PhD Eun‐Cheol Park MD PhD 《Journal of the American Geriatrics Society》2016,64(12):e311-e313
63.
64.
65.
Seth W. Wolk MD MHSA David M. Sine DrBE CPHRM Douglas E. Paull MD 《Journal of healthcare risk management》2014,33(3):24-32
This study explores rationale for and barriers to the prompt and honest disclosure by healthcare organizations of care‐related un‐intended harm to patients. Although fear of legal action is frequently put forward as the reason that disclosure programs have been slow to be adopted by the medical community, social and nonjurisprudential explanations also pose challenges. This study identifies multiple facilitators and obstacles that transcend concerns about litigation and limit disclosure of adverse events that result in serious injury or death. 相似文献
66.
Peter P. Kambhu DDS MS John J. Warren DDS MS Jed S. Hand DDS MHSA Steven M. Levy DDS MPH Howard J. Cowen DDS MS 《Special care in dentistry》1998,18(3):128-132
This investigation used retrospective methodology to examine the outcomes of previous dental treatment and the incidence of developing restorative and extraction needs, including dental caries, among nursing facility residents. Data were taken from treatment records of 48 dentate residents in 10 nursing facilities who received comprehensive dental treatment delivered through the Geriatric Mobile Unit (GMU) program operated by the University of Iowa College of Dentistry and were examined an average of 2.9 years had a mean age of 84 years at the second exam, and 90% were female. About 18% of all previously placed restorations needed to be replaced, and an additional 11% of teeth that received a restoration needed to be extracted at follow-up. At follow-up, nearly 70% (33/48) of residents needed restorative care, while 44% (21/48) needed extractions. The mean incidence of teeth developing new treatment needs between the two visits was 2.7 teeth/person (14.9% of teeth) for restorative need and 1.1 teeth/person (6.6% of teeth) for extraction need. Results suggest that successful treatment outcomes can be achieved for nursing facility residents, but that dental disease and treatment needs develop at a high rate among these residents. 相似文献
67.
The effects of a low-cost intervention program on hospital costs 总被引:1,自引:0,他引:1
Dr. John E. Billi MD Luis Duran-Arenas MD MPH MA Christopher G. Wise MHSA Annette M. Bernard MD Mark McQuillan MD Jeoffrey K. Stross MD 《Journal of general internal medicine》1992,7(4):411-417
OBJECTIVE: To assess the impact of a low-cost education and feedback intervention designed to change physicians' utilization behavior on general medicine services. DESIGN: Prospective, nonequivalent control group study of 1,432 admissions on four general medicine services over 12 months. Two services were randomly selected to receive the intervention. The other two served as controls. Admissions alternated between control and intervention services each day. Results were casemix-adjusted using diagnosis-related groups (DRGs). Three internists blinded to patient study group assignment assessed quality of care using a structured implicit instrument. SETTING: Four general medicine services at a university hospital. INTERVENTIONS: A brief orientation, a pamphlet of cost strategies and common charges, detailed interim bills, and information about projected length of stay and usual hospital reimbursement for each patient. PATIENTS/PARTICIPANTS: Each service was staffed by a full-time internal medicine faculty member, one third-year and two first-year internal medicine houseofficers, three medical students, and a clinical pharmacist. Physicians were assigned to services for one-month periods by a physician unaware of the study design. To prevent crossover, houseofficers assigned to a service returned to the same service for all subsequent general medical inpatient assignments. MEASUREMENTS AND MAIN RESULTS: Geometric mean length of stay was 0.44 days (7.8%) shorter for the intervention services than for the control services (p less than 0.01), and geometric mean charges were $341 (7.1%) less (p less than 0.01). Effects persisted despite using a more precise cost estimate or casemix adjustment. Intervention houseofficers demonstrated superior cost-related attitudes but no difference in knowledge of charges. Audits of quality of care detected no significant difference between groups. CONCLUSION: This low-intensity intervention reduced length of stay and charges, even under the cost-constrained context of the prospective payment system. 相似文献
68.
Richard Bamberg PhD Donna Malvey MHSA Major Charles Wainright MHA Myron D. Fottler PhD Charles L. Joiner PhD 《The Journal of rural health》1994,10(3):199-207
State health care reform may provide a better approach to meeting the health care needs of rural communities than does federal reform because the planning is closer to the needs of local communities. However, state health reform requires a health manpower database (along with other data) that includes all health occupations and such databases are often nonexistent. This study reports on one element of such a database--a survey of a wide range of rural health care employers covering the full range of health occupations in Alabama. Information on current and future employment of the most significant health occupations is reported here. It was found that the greatest numbers of new health personnel employees needed in the future were, in descending order, nursing assistants, registered nurses, licensed practical nurses, radiological technicians, specialist physicians, nurse practitioners, physical therapists, primary care physicians, and respiratory care therapists. While an employer survey has limitations and should be supplemented by data on community needs and health status indicators, it does provide useful information for planning educational programs to prepare health personnel. 相似文献
69.
Measuring physician attitudes toward cost,uncertainty, malpractice,and utilization review 总被引:4,自引:0,他引:4
Dr. Susan Dorr Goold MD MHSA Timothy Hofer MD MS Marc Zimmerman PhD Rodney A. Hayward MD 《Journal of general internal medicine》1994,9(10):544-549
Objective: To develop a reliable measure of physician attitudes postulated to influence resource utilization.
Design: Statements related to attitudes that may influence resource use were culled from the literature and informal discussions
with physicians.
Setting: Academic medical center.
Participants: All faculty and housestaff in internal medicine, pediatrics, family medicine, and surgery at an academic medical center
were surveyed. The response rate was 59% (n=428).
Results: Exploratory factor analysis of all internal medicine surveys revealed four prominent domains. These closely corresponded
with our a-priori hypothesized domains and were interpreted as cost-consciousness, discomfort with uncertainty, fear of malpractice,
and annoyance with utilization review. A replication of the analysis using 25 survey items and conducted on the remainder
of the data (surgeons, pediatricians, and family practitioners) revealed a similar four-factor solution. Scales were constructed
for each of the four domains. Cronbach’s alpha ranged from 0.66 to 0.88. Discomfort from uncertainty and fear of malpractice
were moderately correlated (r=0.42); other scale-scale correlations were modest. Of the four attitude measures, only cost-consciousness
was associated with lower self-estimates of resource use. Both annoyance with utilization review and fear of malpractice increased
as the proportion of time spent in patient care increased.
Conclusions: Although various physician attitudes and beliefs have been hypothesized to influence health services resource use, reliable
and valid measures for most of these have not been developed. The authors developed a 19-item survey instrument designed to
measure these attitudes reliably. The four scales developed in this study may help identify physician attitudes that are important
determinants of physician decision making and help foster a better understanding of physicians’ reactions and acculturation
to different practice environments.
Presented in part at the annual meeting of the Society of General Internal Medicine, May 1, 1992, Washington, DC.
Supported in part by the Lyle C. Roll Memorial Fund. 相似文献
70.
MSN RNNan Smith-Blair Doctoral candidate MN MHSA RNBarbara L. Smith Doctoral candidate MN RNKatherine J. Bradley Doctoral candidate MA RNCarol Gaskamp Doctoral candidate 《Journal of Professional Nursing》1999,15(6):340-348
Although health care organizational change is a constant phenomenon, little is understood as to how staff experience this change. Unsuccessful change efforts have suggested the possible important relationship between understanding staff's experience and improved results. The purpose of this phenomenological study was to describe what staff on a medical-surgical unit experience during the initial phase of the implementation of a nursing care coordinator position, a first step in a broad organizational change. A purposeful sample of 11 nursing and non-nursing staff, considered unit experts, were interviewed using broad, open-ended questions designed to solicit their experience. Additionally, observations and document abstraction were used to add depth and clarification to the interviews. Analysis of data was conducted using a combination of Giorgi's and Colaizzi's procedures. Contextual elements framing staff's experiences included introduction of a new role with no organizational history into an increasingly demanding environment that staff perceived as constantly changing. Major themes of "experiencing the effect" and "struggling to make sense" were revealed. These findings suggest that the introduction of a new role can create turmoil and job insecurity in the current health care environment. Recommendations to support staff's efforts to "make sense" are provided. 相似文献