全文获取类型
收费全文 | 5884篇 |
免费 | 473篇 |
国内免费 | 27篇 |
专业分类
耳鼻咽喉 | 9篇 |
儿科学 | 66篇 |
妇产科学 | 59篇 |
基础医学 | 241篇 |
口腔科学 | 91篇 |
临床医学 | 365篇 |
内科学 | 626篇 |
皮肤病学 | 36篇 |
神经病学 | 178篇 |
特种医学 | 55篇 |
外科学 | 234篇 |
综合类 | 711篇 |
预防医学 | 3338篇 |
眼科学 | 22篇 |
药学 | 265篇 |
中国医学 | 20篇 |
肿瘤学 | 68篇 |
出版年
2024年 | 6篇 |
2023年 | 144篇 |
2022年 | 297篇 |
2021年 | 361篇 |
2020年 | 329篇 |
2019年 | 452篇 |
2018年 | 365篇 |
2017年 | 241篇 |
2016年 | 202篇 |
2015年 | 203篇 |
2014年 | 480篇 |
2013年 | 392篇 |
2012年 | 479篇 |
2011年 | 450篇 |
2010年 | 288篇 |
2009年 | 297篇 |
2008年 | 241篇 |
2007年 | 237篇 |
2006年 | 174篇 |
2005年 | 110篇 |
2004年 | 91篇 |
2003年 | 69篇 |
2002年 | 44篇 |
2001年 | 36篇 |
2000年 | 25篇 |
1999年 | 20篇 |
1998年 | 13篇 |
1997年 | 7篇 |
1996年 | 9篇 |
1995年 | 12篇 |
1994年 | 8篇 |
1993年 | 10篇 |
1992年 | 9篇 |
1991年 | 4篇 |
1990年 | 6篇 |
1986年 | 2篇 |
1985年 | 18篇 |
1984年 | 27篇 |
1983年 | 19篇 |
1982年 | 25篇 |
1981年 | 25篇 |
1980年 | 16篇 |
1979年 | 25篇 |
1978年 | 22篇 |
1977年 | 25篇 |
1976年 | 18篇 |
1975年 | 12篇 |
1974年 | 20篇 |
1973年 | 14篇 |
1972年 | 2篇 |
排序方式: 共有6384条查询结果,搜索用时 15 毫秒
1.
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2.
The Institute of Medicine distinguishes between programs based on who is targeted: the entire population (universal), those
at risk (selective), or persons exhibiting the early stages of use or related problem behavior (indicated). Evaluations suggest
that although universal programs can be effective in reducing and preventing substance use, selective and indicated programs
are both more effective and have greater cost-benefit ratios. This paper tests these assumptions by comparing the impact of
these program types in reducing and preventing substance use at the individual level (i.e., those exposed to intervention
services) and in the population (i.e., those exposed and not exposed to intervention services). A meta-analysis was performed
on 43 studies of 25 programs to examine program comparability across IOM categories. When examining unadjusted effect sizes
at the individual level, universal programs were modestly more successful in reducing tobacco use, but selective and indicated
programs were modestly more successful in reducing alcohol and marijuana use. When adjusted to the population level, the average
effect sizes for selective and indicated programs were reduced by approximately half. At the population level, universal programs
were more successful in reducing tobacco and marijuana use and selective and indicated programs were more successful in reducing
alcohol use. Editors’ Strategic Implications: The authors’ focus on the public health value of a prevention strategy is compelling and provides a model for analyses of
other strategies and content areas. 相似文献
3.
Donald M. Campbell Gerald I. Forbes 《International journal of environmental health research》1994,4(2):86-92
The prevention of the spread of disease by drinking water relies on a tripartate arrangement among the supplier, the regulator and their medical advisers. This paper describes the role of Public Health Medicine in Scotland in preventing a ‘significant risk to health’ from potable water. The legislative framework is highlighted. The rationale of water monitoring is examined and the role of Consultant in Public Health Medicine. The concept of Significant Medical Risk Values is introduced and their derivation, uses, and levels presented. 相似文献
4.
农村公共卫生投融资机制存在的问题及对策 总被引:1,自引:0,他引:1
宁德斌 《中国卫生质量管理》2007,14(5):63-66
当前,农村公共卫生投融资规模不能适应农村居民的卫生服务需要,投融资结构不合理,致使投融资效果不佳,不利于农村卫生事业的发展。为此,需要从四个方面改革农村公共卫生投融资机制:一是要建立健全国家财政投资保障制度,发挥财政在农村公共卫生投资中的主体作用;二是要改革运行模式,拓宽融资渠道;三是要改善投资结构,优化资源配置;四是要创新管理体制,提高农村公共卫生服务能力。 相似文献
5.
本文攀枝花市公共场所环境卫生质量进行了调查和分析。结果表明:空气中细菌总数超标82.7%,气湿超标71%,风速超标54.3%,噪声超标45.6%,CO2超标13.6%,CO超标9%。为改善公共场所卫生质量提出了建议。 相似文献
6.
患者,男性,24岁。外伤后下腹部及左下肢肿胀、疼痛、活动受限5 h入院。患者2004年4月21日7时许骑摩托车与汽车相撞,伤后有短暂意识丧失。于当地医院行X线检查示:左小腿多段开放性粉碎性骨折,左内踝骨折。给予伤口加压包扎,下肢夹板外固定,因当地医院条件有限转入我院。入院后查:体温36·4℃,脉搏100次/m in,呼吸20次/m in,血压70/40 mmHg,意识清醒,全身多处软组织挫伤及皮肤擦伤。腹部无明显隆起,有压痛,无移动性浊音。左下肢夹板外固定,左小腿中段有一长约15 cm的皮肤裂伤,肌肉、骨骼外露,左踝关节畸形,活动受限,足趾活动自如,双侧足背动… 相似文献
7.
目的了解基层公共卫生人员心身健康状况及影响因素,为提高其健康水平和工作质量提供科学依据。方法应用中国心身健康量表,采用分层整群抽样的方式,抽取胶州、嘉祥、兖州和邹城疾病预防控制中心及下属防保站的公共卫生人员584名进行问卷调查。结果基层公共卫生人员心身障碍发生率为39.43%,其中最高为骨骼系统14.17%,其次为神经系统12.73%;呼吸系统、心血管系统、焦虑、抑郁、精神病性5项因子评分小于全国常模;运用二分类Logistic逐步回归分析显示,从事本行业年限的增加是引起眼和耳疾病的危险性因素(OR=1.067),职务的增高是导致心血管系统(OR=1.878)、消化系统(OR=1.675)、精神病性(OR=1.841)疾患的危险性因素;核心家庭(OR=0.136)、扩展家庭(OR=0.143)是降低抑郁发生的保护性因素。结论相关部门应采取综合措施,从工作和家庭环境等方面入手,提高基层公共卫生人员的心身健康水平。 相似文献
8.
公共卫生评估的历史发展大致经历了四个阶段:基本研究、状态评估、衡量效力以及责任和遵从标准。从公共卫生评估演变的轨迹我们可以得出下列启示:项目循环管理方法倾向、结果和过程评估的增加、强调方法上的精确、越来越多地使用定量的和混合的方法以及对公众的责任。 相似文献
9.
对《2007年医院管理年活动方案》的认识与思考 总被引:7,自引:0,他引:7
针对新出台的2007年医院管理年活动方案,文章归纳了2007年管理年活动的主要内容和重点要求,并针对当前我国医院实际,紧密结合《医院管理评价指南(试行)》,从理念、质量、服务和管理4个方面着重分析了医院管理者应当关注的问题,以更好地贯彻落实管理年的有关精神和要求,科学制定出适合各级医院特点的更为具体和更具操作性的实施细则,促进我国公立医院管理水平不断提升。 相似文献
10.
Takeda H Matsumura Y Kuwata S Nakano H Shanmai J Qiyan Z Yufen C Kusuoka H Matsuoka M 《International journal of medical informatics》2004,73(3):311-316
To enhance medical cooperation between the hospitals and clinics around Osaka local area, the healthcare network system, named Osaka Community Healthcare Information System (OCHIS), was established with support of a supplementary budget from the Japanese government in fiscal year 2002. Although the system has been based on healthcare public key infrastructure (PKI), there remain security issues to be solved technically and operationally. An experimental study was conducted to elucidate the central and the local function in terms of a registration authority and a time stamp authority in contract with the Japanese Medical Information Systems Organization (MEDIS) in 2003. This paper describes the experimental design and the results of the study concerning message security. 相似文献