全文获取类型
收费全文 | 161201篇 |
免费 | 15097篇 |
国内免费 | 1095篇 |
专业分类
耳鼻咽喉 | 988篇 |
儿科学 | 8634篇 |
妇产科学 | 3377篇 |
基础医学 | 8369篇 |
口腔科学 | 5299篇 |
临床医学 | 37462篇 |
内科学 | 15688篇 |
皮肤病学 | 1206篇 |
神经病学 | 8389篇 |
特种医学 | 1728篇 |
外科学 | 9814篇 |
综合类 | 13868篇 |
现状与发展 | 3篇 |
一般理论 | 124篇 |
预防医学 | 47352篇 |
眼科学 | 683篇 |
药学 | 8358篇 |
189篇 | |
中国医学 | 1627篇 |
肿瘤学 | 4235篇 |
出版年
2024年 | 541篇 |
2023年 | 5007篇 |
2022年 | 6615篇 |
2021年 | 8965篇 |
2020年 | 9065篇 |
2019年 | 8739篇 |
2018年 | 7886篇 |
2017年 | 7371篇 |
2016年 | 6963篇 |
2015年 | 6658篇 |
2014年 | 11451篇 |
2013年 | 13761篇 |
2012年 | 9340篇 |
2011年 | 9942篇 |
2010年 | 7331篇 |
2009年 | 7600篇 |
2008年 | 7266篇 |
2007年 | 7298篇 |
2006年 | 6189篇 |
2005年 | 4985篇 |
2004年 | 4204篇 |
2003年 | 3381篇 |
2002年 | 2552篇 |
2001年 | 2401篇 |
2000年 | 2031篇 |
1999年 | 1556篇 |
1998年 | 1326篇 |
1997年 | 1028篇 |
1996年 | 891篇 |
1995年 | 662篇 |
1994年 | 591篇 |
1993年 | 571篇 |
1992年 | 450篇 |
1991年 | 383篇 |
1990年 | 324篇 |
1989年 | 263篇 |
1988年 | 282篇 |
1987年 | 213篇 |
1986年 | 186篇 |
1985年 | 213篇 |
1984年 | 163篇 |
1983年 | 102篇 |
1982年 | 93篇 |
1981年 | 93篇 |
1980年 | 94篇 |
1979年 | 68篇 |
1978年 | 58篇 |
1977年 | 62篇 |
1976年 | 57篇 |
1975年 | 53篇 |
排序方式: 共有10000条查询结果,搜索用时 0 毫秒
11.
12.
《Journal de gynecologie, obstetrique et biologie de la reproduction》2015,44(5):411-418
13.
Maite Cruz Piqueras Ainhoa Rodríguez García de Cortazar Joaquín Hortal Carmona Javier Padilla Bernáldez 《Gaceta sanitaria / S.E.S.P.A.S》2019,33(1)
Objective
To analyse and understand vaccination hesitancy discourses, particularly those of people who have decided not to vaccinate their sons and daughters.Methods
Qualitative study of five individual interviews and two focus groups with people who chose not to vaccinate their children in the province of Granada (Spain).Results
Mothers and fathers manifest a system of health beliefs different to the biomedical paradigm. From an ethical point of view, they justify their position based on the right to autonomy and responsibility for their decisions. Alleged specific reasons: they doubt administration of several vaccines simultaneously at an early age in a systematic way and without individualising each case; they fear adverse effects and do not understand the variations of the vaccination schedule.Conclusions
These vaccination hesitancy discourses respond to the individual vs collective conflict; parents defend their right to bring up their children without any interference from the state and focus their responsibility on the individual welfare of their sons and daughters, regardless of the consequences that their actions might have on the collective. In their management of risks, they consider those derived from vaccination more relevant than the individual or collective consequences of not doing so. The vaccines generating most doubts are the more controversial ones within the scientific world. Transparency in communication of adverse effects; authorities respect for other health/disease concepts; banishment of the term “anti-vaccines” from the media and scientific vocabulary, and developing spaces for dialogue are bridges to be built. 相似文献14.
Arjenne H.M. Gussenhoven Amika S. Singh S. Theo Goverts Marten van Til Johannes R. Anema Sophia E. Kramer 《International journal of audiology》2015,54(8):507-517
Objective: A multidisciplinary vocational rehabilitation programme, the Vocational Enablement Protocol (VEP) was developed to address the specific needs of employees with hearing difficulties. In the current study we evaluated the process of implementing the VEP in audiologic care among employees with hearing impairment. Design: In conjunction with a randomized controlled trial, we collected and analysed data on seven process parameters: recruitment, reach, fidelity, dose delivered, dose received and implemented, satisfaction, and perceived benefit. Study sample: Sixty-six employees with hearing impairment participated in the VEP. The multidisciplinary team providing the VEP comprised six professionals. Results: The professionals performed the VEP according to the protocol. Of the recommendations delivered by the professionals, 31% were perceived as implemented by the employees. Compliance rate was highest for hearing-aid uptake (51%). Both employees and professionals were highly satisfied with the VEP. Participants rated good perceived benefit from it. Conclusions: Our results indicate that the VEP could be a useful treatment for employees with hearing difficulties from a process evaluation perspective. Implementation research in the audiological setting should be encouraged in order to further provide insight into parameters facilitating or hindering successful implementation of an intervention and to improve its quality and efficacy. 相似文献
15.
Objective
To explore from a gender perspective the association with subjective health of the interaction between education and household arrangements within the framework of social determinants of health placed at the micro and mezzo levels.Methods
The data comes from the Spanish sample of the European Union Statistics on Income and Living Conditions for 2014. Independent logistic regression models for men and women were run to analyze the association with subjective health of the interaction between education and household arrangements. An additive model was run to assess possible advantages over the interaction approach.Results
The interaction models show a lower or even no significant effect on health of household arrangements usually negatively associated with health among individuals with high education, displaying specific patterns according to sex.Conclusions
Health profiles of women and men are more precisely drawn if both social determinants of health are combined. Among the women, the important role was confirmed of both social determinants of health in understanding their health inequalities. Among the men, mainly those with low educational achievement, the interaction revealed that the household was a more meaningful social determinant of health. This could enable the definition of more efficient public policies to reduce health and gender inequalities. 相似文献16.
Background and aimPatient decision aids for oncological treatment options, provide information on the effect on recurrence rates and/or survival benefit, and on side-effects and/or burden of different treatment options. However, often uncertainty exists around the probability estimates for recurrence/survival and side-effects which is too relevant to be ignored. Evidence is lacking on the best way to communicate these uncertainties. The aim of this study is to develop a method to incorporate uncertainties in a patient decision aid for breast cancer patients to support their decision on radiotherapy.MethodsFirstly, qualitative interviews were held with patients and health care professionals. Secondly, in the development phase, thinking aloud sessions were organized with four patients and 12 health care professionals, individual and group-wise.ResultsConsensus was reached on a pictograph illustrating the whole range of uncertainty for local recurrence risks, in combination with textual explanation that a more exact personalized risk would be given by their own physician. The pictograph consisted of 100 female icons in a 10 x 10 array. Icons with a stepwise gradient color indicated the uncertainty margin. The prevalence and severity of possible side-effects were explained using verbal labels.ConclusionsWe developed a novel way of visualizing uncertainties in recurrence rates in a patient decision aid. The effect of this way of communicating risk uncertainty is currently being tested in the BRASA study (NCT03375801). 相似文献
17.
ABSTRACTScreening rates for trauma are low in health care settings. We examined the association between health care providers’ (HCPs) experience of physical or sexual trauma and their screening of female patients for trauma. HCPs at an urban academic medical institution were surveyed from September through November 2016. The Brief Trauma (BTQ) and Sexual and Physical Abuse History Questionnaires (SPAHQ) assessed their own experiences of trauma. The Screening Practices Questionnaire (SPQ) assessed HCPs trauma screening. Multiple regression analyses were performed. Among 212 respondents aged 22–67 years, most were female (78.3%) and white (76.1%). Nurses (41.0%) were the largest occupational group. Overall, 85.8% reported having experienced trauma. No significant difference was observed in median SPQ scores between HCPs who had experienced trauma (3.88 [Interquartile Range (IQR) 3.44–4.31]) and those who had not (4.00 [IQR 3.47–4.33], p = .645). In an adjusted model, screening policy awareness and having an obstetrics & gynecology or psychiatry specialty were associated with higher SPQ scores (p < .001). The prevalence of trauma experience in this sample was high, but not associated with screening. Screening policy awareness and practice specialty were associated with screening. HCP factors associated with greater trauma screening should be explored. 相似文献
18.
社会办医作为我国基层卫生服务的重要组成部分,可以弥补基层卫生机构发展总量与质量不足等问题,对于推进整个基层卫生服务高质量发展也是有着重大裨益。文章从物理学的"力"出发,运用支持力,推力,引力,阻力,摩擦力五种"力"探讨社会资本参与基层卫生服务的动力形成机制,并构建动力斜坡图,针对存在问题,提出加大支持力和引力,合理利用推力,减少摩擦力,消除阻力等优化建议,以期助力社会资本参与基层卫生服务建设平稳进行。 相似文献
19.
Lillian Comas-Diaz 《Clinical psychology》2006,13(3):273-277
This article discusses clinical psychologists' current concerns, challenges, and opportunities in private practice. The future of clinicians in independent practice is presented within two paradigms, namely, psychology as a health profession, and psychology as life enhancement. Finally, the author argues that psychotechnology, corporate clinical psychology, and psychology as life enrichment will evolve within the future of clinical psychological independent practice. 相似文献
20.
王磊 《中华老年口腔医学杂志》2006,4(1):41-42
目的:通过对近两年社区卫生服务中心327例老年病人拔牙临床观察,探讨基层社区老年病人的特点。方法:通过心理、精神和技术方面的配合,安全顺利地完成拔牙术。结果:除5例病人术后感头晕外,其余均顺利完成且病人满意。结论:社区卫生服务中心除具备熟练的技术外,医患之间心理沟通是必不可少的。 相似文献