全文获取类型
收费全文 | 5721篇 |
免费 | 522篇 |
国内免费 | 63篇 |
专业分类
耳鼻咽喉 | 17篇 |
儿科学 | 66篇 |
妇产科学 | 52篇 |
基础医学 | 246篇 |
口腔科学 | 104篇 |
临床医学 | 538篇 |
内科学 | 700篇 |
皮肤病学 | 67篇 |
神经病学 | 248篇 |
特种医学 | 100篇 |
外科学 | 520篇 |
综合类 | 1256篇 |
一般理论 | 2篇 |
预防医学 | 1537篇 |
眼科学 | 103篇 |
药学 | 433篇 |
25篇 | |
中国医学 | 232篇 |
肿瘤学 | 60篇 |
出版年
2024年 | 17篇 |
2023年 | 108篇 |
2022年 | 196篇 |
2021年 | 250篇 |
2020年 | 255篇 |
2019年 | 400篇 |
2018年 | 280篇 |
2017年 | 207篇 |
2016年 | 139篇 |
2015年 | 153篇 |
2014年 | 389篇 |
2013年 | 362篇 |
2012年 | 333篇 |
2011年 | 394篇 |
2010年 | 254篇 |
2009年 | 209篇 |
2008年 | 239篇 |
2007年 | 221篇 |
2006年 | 184篇 |
2005年 | 159篇 |
2004年 | 103篇 |
2003年 | 82篇 |
2002年 | 70篇 |
2001年 | 63篇 |
2000年 | 65篇 |
1999年 | 47篇 |
1998年 | 37篇 |
1997年 | 28篇 |
1996年 | 12篇 |
1995年 | 8篇 |
1994年 | 10篇 |
1993年 | 5篇 |
1992年 | 7篇 |
1991年 | 5篇 |
1990年 | 4篇 |
1988年 | 4篇 |
1987年 | 3篇 |
1985年 | 77篇 |
1984年 | 104篇 |
1983年 | 92篇 |
1982年 | 93篇 |
1981年 | 104篇 |
1980年 | 76篇 |
1979年 | 82篇 |
1978年 | 81篇 |
1977年 | 52篇 |
1976年 | 60篇 |
1975年 | 66篇 |
1974年 | 54篇 |
1973年 | 58篇 |
排序方式: 共有6306条查询结果,搜索用时 312 毫秒
931.
目的为了解取消药品加成对医疗费用的影响,特选取药品零加成后(2018年第一季度)及药品零加成前(2017年第一季度)医院住院病例中的8个病种,对之进行费用分析。方法采用文献分析法分析费用构成变化情况;使用SAS 8.0统计软件和Excel表格进行数据分析;利用复利系数计算法,减少时间因素对费用的影响。结果药品零加成后,8个病种的平均住院费用均有不同程度降低,其中药费因素贡献程度最大。费用结构中,药费比重大幅度下降,治疗费、检查费、化验费、手术病种手术费用均有一定程度上升,平均住院日有不同程度缩短;平均住院床日费用有不同程度下降。药品零加成在一定程度上缓解了“看病贵”问题。结论取消药品加成对降低患者药品费用起到了明显促进作用。医院应进一步加强医院管理和成本核算,提高运行效率。 相似文献
932.
目的 调查参保者和药店工作人员对西安市谈判药品挂账过渡期报销政策的知晓率与满意度,为医保谈判药品政策落地提供依据。方法 对3家西安市特定药店工作人员及到店购买谈判药品的参保者进行问卷调查,对青岛市、成都市及西安市人社局相关人员、西安市药店相关人员及参保者进行访谈。结果 参保者对西安市谈判药品挂账过渡期报销政策总体知晓率较低,药店工作人员总体知晓率较高;参保者和药店工作人员总体满意度都较高。被调查者对该政策不满意的方面主要是政策普及程度不够、需先垫付药品报销部分费用、报销程序繁琐等。结论 相关部门应加强谈判药品相关政策宣传,加快出台特药定点药店管理办法,完善医保信息化系统等。 相似文献
933.
目的 了解我国基层医务人员工作满意度水平,探索影响因素,提出针对性建议。方法 采用多阶段分层整群抽样方法,于2019年1月-4月,利用自行设计问卷对900名基层医务人员进行问卷调查。运用单因素方差分析、Person相关分析和Logistic回归分析研究基层医务人员满意度影响因素。结果 回收有效问卷865份。基层医务人员总体满意度得分为(3.64±0.82)分。年龄、晋升制度、收入水平、医患关系、绩效考核、工作能力对总体满意度的影响有统计学意义(P<0.05)。结论 基层医务人员总体工作满意度处于一般水平。建议通过提高基层医务人员薪酬待遇,提供良好个人发展空间;增加药品及医疗设备种类,提高社区卫生机构服务能力;优化顶层设计,减轻基层医务人员负担等来提高医务人员总体满意度。 相似文献
934.
935.
A. Aggarwal S. Bernays H. Payne J. van der Meulen C. Davis 《Clinical oncology (Royal College of Radiologists (Great Britain))》2018,30(7):e67-e73
Aims
There is limited evidence about how patients respond to hospital choice policies, the factors that inform and influence patient choices or how relevant these policies are to cancer patients. This study sought to evaluate hospital choice policies from the perspective of men who received treatment for prostate cancer in the English National Health Service.Materials and methods
Semi-structured interviews were undertaken with a purposive sample of 25 men across England. Fourteen men had chosen to receive treatment at a cancer centre other than their nearest. Interviews were recorded and analysed concurrently with data collection.Results
Men highlight that the geographical configuration of specialist services, the perceived urgency of the condition and the protocolisation of treatment pathways all limit their choice of a specialist treatment centre. Diseases such as cancer appear not to be well suited to the patient choice model, given the lack of hospital-level outcome data. Men instead use proxy measures of quality, leaving them vulnerable to influence by marketing and media reports. Men wishing to consider other treatment centres need to independently collect and appraise complex treatment-related information, which creates socioeconomic inequities in access to treatments. A positive impact of the choice agenda is that it enables patients to ‘exit care’ not meeting their expectations.Discussion
Policy makers have failed to consider the organisational, disease-specific and socio-cognitive factors that influence a patient's ability to choose their cancer treatment provider. Valid comparative hospital-level performance information is required to guide patients' choices, otherwise patients will continue to depend on informal sources, which will not necessarily improve their health care outcomes. 相似文献936.
Sarah Huet Bruno Tesson Jean-Philippe Jais Andrew L Feldman Laura Magnano Emilie Thomas Alexandra Traverse-Glehen Benoit Albaud Marjorie Carrère Luc Xerri Stephen M Ansell Lucile Baseggio Cécile Reyes Karin Tarte Sandrine Boyault Corinne Haioun Brian K Link Pierre Feugier Gilles Salles 《The lancet oncology》2018,19(4):549-561
937.
938.
《Radiography》2018,24(1):57-63
IntroductionMobile phone use by healthcare workers (HCWs) is widespread. Studies have shown that HCW’s mobile phones can harbour pathogens associated with nosocomial infections. This study investigated whether an awareness campaign will result in an improvement in radiographers’ phone and hand hygiene practices.MethodsRadiographers working in the general department of two university hospitals were invited to participate. One hospital was assigned as the experiment hospital and the other as a control. In the experiment hospital, adenosine triphosphate (ATP) testing of each participant’s mobile phone determined the cleanliness of its surface. A corresponding survey was completed to determine their current practices and level of awareness. Subsequently, an infection control poster campaign took place for a one-month period, followed by re-testing. In the control hospital, the ATP testing and survey were also completed before and after a one-month period, but without a poster campaign.ResultsRadiographers were generally unaware of the infection risks associated with mobile phone use with 44% of all participants never cleaning their phone. The campaign successfully improved phone hygiene frequency and method in the experiment hospital. However, it did not improve hand hygiene practices and actual phone cleanliness (mean ATP count reductions of 10% (experiment hospital) and 20% (control)). The ATP testing as a less direct form of intervention showed similar levels of success in comparison to the poster campaign.ConclusionsA multifaceted educational approach is likely to be most effective in raising awareness and changing radiographers’ phone and hand hygiene practices. 相似文献
939.
940.