全文获取类型
收费全文 | 9290篇 |
免费 | 1530篇 |
国内免费 | 87篇 |
专业分类
耳鼻咽喉 | 26篇 |
儿科学 | 89篇 |
妇产科学 | 156篇 |
基础医学 | 468篇 |
口腔科学 | 122篇 |
临床医学 | 1634篇 |
内科学 | 378篇 |
皮肤病学 | 49篇 |
神经病学 | 408篇 |
特种医学 | 104篇 |
外科学 | 362篇 |
综合类 | 1943篇 |
一般理论 | 4篇 |
预防医学 | 1697篇 |
眼科学 | 40篇 |
药学 | 786篇 |
17篇 | |
中国医学 | 2465篇 |
肿瘤学 | 159篇 |
出版年
2024年 | 75篇 |
2023年 | 289篇 |
2022年 | 470篇 |
2021年 | 634篇 |
2020年 | 785篇 |
2019年 | 710篇 |
2018年 | 441篇 |
2017年 | 508篇 |
2016年 | 441篇 |
2015年 | 390篇 |
2014年 | 767篇 |
2013年 | 805篇 |
2012年 | 709篇 |
2011年 | 773篇 |
2010年 | 627篇 |
2009年 | 475篇 |
2008年 | 345篇 |
2007年 | 311篇 |
2006年 | 233篇 |
2005年 | 159篇 |
2004年 | 129篇 |
2003年 | 116篇 |
2002年 | 98篇 |
2001年 | 91篇 |
2000年 | 79篇 |
1999年 | 57篇 |
1998年 | 47篇 |
1997年 | 42篇 |
1996年 | 23篇 |
1995年 | 20篇 |
1994年 | 13篇 |
1993年 | 17篇 |
1992年 | 17篇 |
1991年 | 15篇 |
1990年 | 11篇 |
1988年 | 8篇 |
1987年 | 11篇 |
1986年 | 12篇 |
1985年 | 15篇 |
1984年 | 20篇 |
1983年 | 9篇 |
1982年 | 7篇 |
1981年 | 9篇 |
1980年 | 7篇 |
1979年 | 7篇 |
1978年 | 8篇 |
1976年 | 11篇 |
1973年 | 7篇 |
1969年 | 7篇 |
1968年 | 12篇 |
排序方式: 共有10000条查询结果,搜索用时 250 毫秒
1.
深化家庭医生签约服务是深化医药卫生体制改革、强化基层医疗卫生服务、实现"健康中国"战略目标的重要选择,也是当前更好维护人民群众健康的重要途径。为有效推进签约服务工作,国家陆续推出各项政策,全国各地也在积极进行实践探索,成效明显。但是,签约服务仍面临诸多问题,其中"执行难"是签约服务深度推进的一大困境。通过史密斯政策执行过程模型,结合签约服务政策执行过程,发现签约服务仍存在法治性不足、政策执行人员水平不高、激励不足、政策环境影响等诸多制约因素。因此,需要从法律和制度方面进行顶层设计、提升执行人员素质和职业认同、建立医患互信、优化政策执行环境等角度进行政策创新,探索家庭医生签约服务可持续发展的路径。 相似文献
2.
随着社会的发展,人类生活方式的改变,高血压病越来越高发,具有低龄化趋势,代谢综合征常伴随发生,此种情况下的高血压往往是以舒张压升高为主,临床表现常与“亚健康”状态混淆,未能引起患者甚至部分医生的重视,然而事实上越来越多的科学研究证实舒张压高之危害十分明显,不容忽视。尽管现代医学对舒张压高的病因及病理机制有明确的阐述,但是暂时没有特效的药物。李延教授在治疗高血压病方面有着丰富的临床经验,临床中运用泽泻汤合温胆汤加减治疗舒张压高之眩晕,切中病机,加减灵活,屡有良效。文中从中医角度阐述舒张压高的病因病机,介绍李师辨病辨证思路,组方用药特点,附三则典型验案,另加个人心得体会,以期为舒张压高的有效治疗提供思路。 相似文献
3.
Louise Danielsson RPT MSc Susanne Rosberg RPT PhD 《Scandinavian journal of caring sciences》2015,29(3):501-509
Although depression is associated to physical discomfort, meanings of the body in depression are rarely addressed in clinical research. Drawing on the concept of the lived body, this study explores depression as an embodied phenomenon. Using a hermeneutic phenomenological approach, the analysis of narrative‐based interviews with 11 depressed adults discloses a thematic structure of an embodied process of an ambiguous striving against fading. Five subthemes elicit different dimensions of this process, interpreted as disabling or enabling: feeling estranged, feeling confined, feeling burdensome, sensing life and seeking belongingness. In relation to clinical practice, we suggest that the interdisciplinary team can focus on enhancing the enabling dimensions, for example through guided physical activities to support the patient to feel more alive, capable and connected. Moreover, we suggest that the treatment process benefits from an increased awareness of the ambiguity in the patient's struggle, acknowledging both destructive and recharging elements of the withdrawing, and the perceived conflict in‐between. 相似文献
4.
《中国现代医生》2020,58(4):182-184+188
目的 探讨脊柱后路内固定术后硬膜外血肿的预防与护理体会。方法 遵照回顾性分析法选择我院2013年2 月~2018 年2 月纳入的60 例脊柱后路内固定术患者,依照不同理疗方式进行分组。其中30 例给予常规药物治疗作为对照组,另30 例除了常规治疗之外实施综合护理作为研究组,记录两组硬膜外血肿、腰椎术后血肿及颈椎术后血肿发生率,分别在干预前后进行生活质量评分(QOL)调查,出院时发放满意度调查问卷表,对比两组干预结果。结果 研究组血肿发生率为6.67%,明显低于对照组的20.00%(P<0.05)。干预前两组的食欲、精神、睡眠、疼痛及日常生活评分相比差异无统计学意义(P>0.05),干预后研究组的各项评分均高于对照组(P<0.05)。研究组对干预效果的满意度为90.00%,明显高于对照组的76.67%(P<0.05)。结论 护理干预运用于脊柱后路内固定中效果显著,能够有效减少硬膜外血肿的发生率,提升生活质量,促进病情稳定,患者满意度较高,可维持良好医患关系。 相似文献
5.
6.
《Vaccine》2020,38(45):7118-7128
IntroductionToward the Global Vaccine Action Plan 2020 goal, almost 90% of countries have established a National Immunization Technical Advisory Group (NITAG). However, little is known about NITAG's contributions to governance.MethodsIn 2017–2018, a two-step, qualitative retrospective study was conducted. Jordan (JO), Argentina (AR), and South Africa (SA) were selected owing to government-financed NITAGs from middle-income countries (MICs), geographic diversity, and a vaccine introduction with NITAG support. Country case studies were developed, collecting data through desk review and face-to-face key informant interviews (KIIs) from Ministry of Health (MoH) and NITAG. Case studies were analyzed together, to assess governance applying the European Observatory on Health Systems and Policies framework focusing on transparency, accountability, participation, integrity, and policy capacity (TAPIC).ResultsDocument review and 53 KII (22 AR, 20 SA, 11 JO) showed NITAGs played a pivotal role as advisors promoting a culture of evidence-informed policies. NITAGs strengthened governance, although practices varied among countries. Meetings were conducted behind-closed-doors, participation restricted to members, only in one country agendas, and recommendations were public (AR). To increase participation, policy capacity, and transparency, countries considered adding experts in communications, advocacy, and economics. AR and SA contemplated including community members. NITAGs functioned autonomously from the government, with no established internal or external monitoring or supervision. NITAG meeting minutes allowed the review of integrity, adherence to terms of reference, standard operating procedures, and conflict of interest (CoI). For the most part, NITAGs abided by their mandates. Significant issues were related to the level of MoH support and oversight of CoI declaration and documentation.ConclusionsSystematically implementing governance approaches could improve processes, better tailor policies, and implementation. The long-term survival and resilience of NITAGs in these countries showed they play a significant role in strengthening governance. Lessons learned could be useful to those promoting country-driven evidence-informed decision-making. 相似文献
7.
8.
9.
Haochu Li Xiaoming Li Lai Sze Tso Shan Qiao Eleanor Holroyd Yuejiao Zhou 《Vulnerable children and youth studies》2016,11(2):173-179
In HIV/AIDS research, few studies to date have evaluated ways to improve parental HIV disclosure practices using feedback from HIV-negative children who have recently experienced this event. We conducted semi-structured in-depth interviews with 20 children (aged 6–15) who were partially to fully aware of their parents’ HIV status in rural Guangxi, China. Of the 20 children, eight children who were of older age (11.38 years in average) endorsed parental HIV disclosure, five discouraged it and seven expressed uncertainty. Children’s different experiences and attitudes towards disclosure were seen to be associated with their family dynamics (especially the parent–child relationship), social support and care, experiences of stigma and discrimination, psychosocial suffering, comprehension of the disease and the children’s age. Our study contributes to building a child-centered comprehensive understanding for Chinese parental HIV disclosure. It is imperative that counselors and community advocates assess and help parents achieve optimal readiness preceding disclosure of their illness to their HIV-negative children. 相似文献
10.