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81.
LC Welch KE Lutfey E Gerstenberger M Grace 《Journal of health and social behavior》2012,53(3):313-328
Nonmedical factors and diagnostic certainty contribute to variation in clinical decision making, but the process by which this occurs remains unclear. We examine how physicians' interpretations of patient sex-gender affect diagnostic certainty and, in turn, decision making for coronary heart disease. Data are from a factorial experiment of 256 physicians who viewed 1 of 16 video vignettes with different patient-actors presenting the same symptoms of coronary heart disease. Physician participants completed a structured interview and provided a narrative about their decision-making processes. Quantitative analysis showed that diagnostic uncertainty reduces the likelihood that physicians will order tests and medications appropriate for an urgent cardiac condition in particular. Qualitative analysis revealed that a subset of physicians applied knowledge that women have "atypical symptoms" as a generalization, which engendered uncertainty for some. Findings are discussed in relation to social-psychological processes that underlie clinical decision making and the social framing of medical knowledge. 相似文献
82.
M. Joseph Sirgy Dong-Jin Lee Stephan Grzeskowiak Grace B. Yu Dave Webb Karma El-Hasan Jose Jesus Garcia Vega Ahmet Ekici J. S. Johar Anjala Krishen Ayca Kangal Bernhard Swoboda C. B. Claiborne Filomena Maggino Don Rahtz Alicia Canton Ayse Kuruuzum 《Social indicators research》2010,99(3):375-390
This paper reports a study designed to further validate a measure of quality of college life (QCL) of university students (Sirgy, Grzeskowiak, Rahtz, Soc Indic Res 80(2), 343–360, 2007). Two studies were conducted: a replication study and an extension study. The replication study involved surveys of 10 different college campuses in different countries. The results of the replication study provided additional nomological (predictive) validation support of the measure based on a theoretical model mapping out the antecedents and consequences of satisfaction with college life. With respect to the extension study, the focus was to further test the nomological validity of the QCL measure by arguing and empirically demonstrating that the consequence of QCL is life satisfaction. The extension study involved a survey of three college campuses in different countries. The results were also supportive of the nomological validity of the QCL measure. 相似文献
83.
Robin L. Stadnyk Stephanie A. Chamberlain Grace Warner E. Marie Earl Christy Nickerson Rak 《Journal of Housing for the Elderly》2017,31(3):243-258
Longitudinal quality-of-life (QOL) research incorporating multiple perspectives can add to knowledge about how nursing home residents experience QOL, but these methods are seldom used. This study employed interviews and participant observation to conduct multiple-perspective, longitudinal case studies of six residents. Close, reciprocal relationships with staff members, staff knowledge of residents, and autonomy were fundamental to QOL. Autonomy was experienced through choice and self-advocacy. Changes in QOL over time related to changes in resident health status, acclimation to the setting and family member availability. Study results may have implications for staffing and staff training. 相似文献
85.
86.
This study examines youths' experiences of loneliness and community connectedness in relation to seven domains of subjective quality of life among pre-adolescents, early adolescents, and middle adolescents. Participants consisted of 464 youth, ranging in age from 11 to 17 years, from two rural towns. Youth reported on their subjective experiences of loneliness and their perceptions of their community environments (neighbourhood and school). Hierarchical regressions indicated the importance of loneliness in accounting for subjective quality of life for early adolescents, and less so for middle and pre-adolescents. Community factors significantly accounted for additional variance in pre-adolescents' reports of their quality of life, compared with early and middle adolescents' reports. Discussion highlights the importance of understanding the determinants of quality of life from an individual, community, and developmental perspective. 相似文献
87.
The (continuous) data are n observations that are believed to be a random sample from a symmetrical population. Confidence intervals and significance tests for the population mean are desired. There is, however, the possibility that either the smallest observation or the largest observation is an outlier. That is, the population providing this observation differs from the symmetrical population providing the other n - 1 observations. If this occurs, intervals and tests are desired for the mean of the population providing the other n - 1 observations. Some investigation difficulties can be overcome if intervals and tests can be developed that are simultaneously usable for all of these three situations (a confidence coefficient, or significance level, has the same value for all three situations). Two kinds of intervals and tests with this property are developed. These results always involve both the next to smallest observations and should have at least moderately high efficiencies. Also, some extensions are considered, such as allowing each observation to be from a different population. 相似文献
88.
89.
Haight WL Black JE Mangelsdorf S Giorgio G Tata L Schoppe SJ Szewczyk M 《Child welfare》2002,81(2):173-202
Mothers of children recently placed in foster care, foster mothers, and child welfare workers participated in semistructured, clinical interviews focusing on the challenges of parent visitation with young children. Mothers described their feelings of grief, trauma, and rage about the forced separation from their children and stressed the importance of emotional expression and communication during visits. Child welfare workers described the complexities of supporting emotionally close parent-child interactions while monitoring and assessing parental behavior during visits. Foster mothers described the importance of preparing children for visits and the difficulties of supporting the children afterward. Implications of understanding mothers', foster mothers', and child welfare workers' perspectives on enhancing the quality of visits with young children are discussed. 相似文献
90.
Welte JW Barnes GM Wieczorek WF Tidwell MC Parker J 《Journal of gambling studies / co-sponsored by the National Council on Problem Gambling and Institute for the Study of Gambling and Commercial Gaming》2002,18(4):313-337
Demographic patterns of gambling participation in the U.S. were examined. A national telephone survey was conducted with 2,630 representative U.S. residents aged 18 or older. The sample as weighted for analysis was 48% male, 12% black, and 11% Hispanic. Respondents were questioned on 15 types of gambling: how often they played and how much they won or lost. Eighty-two percent gambled in the past year. Lottery was the most commonly played game, while casino gambling accounted for the largest extent of gambling involvement. Men and women were equally likely to gamble in the past year, but men gambled more frequently and had larger wins and losses, particularly on sports betting and games of skill. Blacks were less likely to have gambled in the past year, but blacks who gambled did so more heavily than other racial groups. Blacks and Hispanics were more likely than average to be pathological gamblers. The rate of past year gambling declined with age, but extent of gambling involvement among gamblers did not vary with age. Rates of participation in most forms of gambling increased with socioeconomic status, but higher socioeconomic status gamblers had lower rates of pathological gambling, and lower extent of gambling involvement, particularly for lottery. New Englanders gambled more heavily than other Americans. Comparison with past studies showed an increase in overall gambling participation in the U.S., and large increases in rates of participation in lottery and casino gambling. 相似文献