Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
COVID-19 Vaccine Literacy and Vaccine Hesitancy Level Among Healthcare Professionals in Türkiye, Their Relationship and Influencing Factors: A Cross-Sectional Study
Türkiye'deki Sağlık Çalışanları Arasında COVID-19 Aşı Okuryazarlığı ve Aşı Tereddütü Düzeyi, Birbirleriyle İlişkisi ve Etkileyen Etmenler: Kesitsel Bir Çalışma
İrem AKOVAa, Esma KILIÇb, Mehmet Emin ÖZDEMİRc, Nagehan EKİCİ KOŞAROĞLUb, Öznur HASDEMİRd, Cem ÖZERd, Tuğrul KEKLİKÇİd
aDepartment of Public Health, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Türkiye
bİbn-i Sina Community Health Center, Sivas, Türkiye
cProvincial Health Directorate, Kayseri, Türkiye
dProvincial Health Directorate, Sivas, Türkiye
Turkiye Klinikleri J Med Sci. 2023;43(1):64-74
doi: 10.5336/medsci.2022-92564
Article Language: EN
Full Text
ABSTRACT
 Objective: Healthcare professionals (HP) play a role in vaccine acceptance as they influence people's decisions by sharing their personal experiences. The study was aimed to determine the coronavirus disease-2019 (COVID-19) vaccine literacy (VL) and vaccine hesitancy (VH) level among HP in Türkiye, their relationship and influencing factors. Material and Methods: This cross-sectional online study was applied to 1,111 HP between 15.02.2022-15.03.2022. The sociodemographic data form, COVID-19 Vaccine Literacy Scale (CVLS), and Vaccine Hesitancy Scale-long form (VHS) were used. Sociodemographic characteristics, questions about COVID-19 and COVID-19 vaccines were considered as independent variables, while VL and VH were considered as dependent variables. Results: Of the participants, 33.8% (n=376) were physicians, 25.2% (n=280) were nurses/midwives and 41.0% (n=455) were other HP. The CVLS functional mean score of HP was 2.6±0.7 and the interactivecritical mean score was 3.0±0.6. The VHS mean score was 44.6±16.3. Being a physician (p <0.001 for functional, p=0.002 for interactive-critical) and thinking that the origin of the coronavirus is a natural source from animals (p=0.029 for functional, p<0.001 for interactive-critical) were the factors that increased VL. Being a physician (p<0.001) and having high CVLS mean scores (p<0.001 for functional and interactive-critical) were the factors that decreased the VH. There was a weak negative correlation between VL and VH levels (r=-0.223 for functional, r=-0.323 for interactive-critical) (p<0.001). Conclusion: Considering that high VL level decreased VH level, it is obvious that the knowledge level of HP about COVID-19 vaccines should be increased.

Keywords: Health literacy; COVID-19 vaccine; vaccine hesitancy; medical staff
ÖZET
 Amaç: Sağlık çalışanları [healthcare professionals (HP)], aşı ile ilgili kişisel deneyimlerini paylaşarak insanların kararlarını etkiledikleri için aşının kabul edilmesinde rol oynarlar. Çalışma, Türkiye'deki HP'ler arasında koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] aşı okuryazarlığı [vaccine literacy (VL)] ve aşı tereddütü [vaccine hesitancy VH)] düzeyi, birbirleriyle ilişkisi ve etkileyen etmenleri belirlemeyi amaçladı. Gereç ve Yöntemler: Bu kesitsel çevrim içi çalışma 15.02.2022- 15.03.2022 tarihleri arasında 1.111 HP'ye uygulandı. Sosyodemografik veri formu, COVID-19 Aşı Okuryazarlığı Ölçeği [COVID-19 Vaccine Literacy Scale (CVLS)] ve Aşı Tereddüt Ölçeği-uzun formu [Vaccine Hesitancy Scale VHS)] kullanıldı. VL ve VH bağımlı değişkenler olarak, sosyodemografik özellikler, COVID-19 ve COVID-19 aşılarıyla ilgili sorular bağımsız değişkenler olarak kabul edildi. Bulgular: Katılımcıların %33,8'i (n=376) hekim, %25,2'si (n=280) hemşire/ebe ve %41,0'ı (n=455) diğer HP idi. HP'nin CVLS fonksiyonel ortalama skoru 2,6±0,7 ve interaktif-kritik ortalama skoru 3,0±0,6 idi. VHS ortalama skoru 44,6±16,3 idi. Hekim olmak (fonksiyonel için p <0,001, etkileşimli-kritik için p=0,002) ve koronavirüsün kaynağının hayvanlardan geldiğini düşünmek (fonksiyonel için p=0,029, etkileşimli-kritik için p<0,001) VL'yi artıran faktörlerdi. Hekim olmak (p<0,001) ve CVLS ortalama puanlarının yüksek olması (fonksiyonel ve etkileşimli-kritik için p<0,001) VH'yi azaltan faktörlerdi. VL ile VH düzeyleri arasında zayıf negatif bir ilişki vardı (fonksiyonel için r=-0,223, etkileşimli-kritik için r=-0,323) (p<0,001). Sonuç: Yüksek VL düzeyinin VH düzeyini azalttığı göz önünde bulundurulduğunda, HP'nin COVID-19 aşıları hakkındaki bilgi düzeyinin artırılması gerektiği açıktır.

Anahtar Kelimeler: Sağlık okuryazarlığı; COVID-19 aşısı; aşı tereddütü; sağlık çalışanları
REFERENCES:
  1. Ratzan SC. Vaccine literacy: a new shot for advancing health. J Health Commun. 2011;16(3):227-9. [Crossref]  [PubMed] 
  2. Biasio LR. Vaccine literacy is undervalued. Hum Vaccin Immunother. 2019;15(11):2552-3. [Crossref]  [PubMed]  [PMC] 
  3. Centers for Disease Control and Prevention (CDC). Ten great public health achievements--United States, 2001-2010. MMWR Morb Mortal Wkly Rep. 2011;60(19):619-23. [PubMed] 
  4. Greenwood B. The contribution of vaccination to global health: past, present and future. Philos Trans R Soc Lond B Biol Sci. 2014;369(1645):20130433. [Crossref]  [PubMed]  [PMC] 
  5. World Health Organization [Internet]. © 2022 WHO [Cited: January 18, 2022]. Ten threats to global health in 2019. Available from: [Link] 
  6. Kennedy J. Vaccine hesitancy: a growing concern. Paediatr Drugs. 2020;22(2):105-11. [Crossref]  [PubMed] 
  7. Verger P, Dubé E. Restoring confidence in vaccines in the COVID-19 era. Expert Rev Vaccines. 2020;19(11):991-3. [Crossref]  [PubMed] 
  8. Wouters OJ, Shadlen KC, Salcher-Konrad M, Pollard AJ, Larson HJ, Teerawattananon Y, et al. Challenges in ensuring global access to COVID-19 vaccines: production, affordability, allocation, and deployment. Lancet. 2021;397(10278):1023-34. [Crossref]  [PubMed]  [PMC] 
  9. Rowlands G. Health literacy. Hum Vaccin Immunother. 2014;10(7):2130-5. [Crossref]  [PubMed]  [PMC] 
  10. Shekhar R, Sheikh AB, Upadhyay S, Singh M, Kottewar S, Mir H, et al. COVID-19 vaccine acceptance among health care workers in the united states. Vaccines (Basel). 2021;9(2):119. [Crossref]  [PubMed]  [PMC] 
  11. Biasio LR, Bonaccorsi G, Lorini C, Pecorelli S. Assessing COVID-19 vaccine literacy: a preliminary online survey. Hum Vaccin Immunother. 2021;17(5):1304-12. [Crossref]  [PubMed]  [PMC] 
  12. Geldsetzer P. Use of rapid online surveys to assess people's perceptions during infectious disease outbreaks: a cross-sectional survey on COVID-19. J Med Internet Res. 2020;22(4):e18790. [Crossref]  [PubMed]  [PMC] 
  13. Başara Bora B, Aygün A, Soytutan Çağlar İ, Kulali B. Sağlık İstatistikleri Yıllığı 2020 Haber Bülteni. T.C. Sağlık Bakanlığı Sağlık Bilgi Sistemleri Genel Müdürlüğü; 2021. Erişim tarihi: 18 Ocak 2022. Erişim linki: [Link] 
  14. Başara Bora B, Aygün A, Soytutan Çağlar İ, Kulali B. T.C. Sağlık Bakanlığı. Sağlık İstatistikleri Yıllığı 2019 Haber Bülteni. Sağlık Bilgi Sistemleri Genel Müdürlüğü; 2020. Erişim tarihi: 18 Ocak 2022. Erişim linki: [Link] 
  15. Ishikawa H, Takeuchi T, Yano E. Measuring functional, communicative, and critical health literacy among diabetic patients. Diabetes Care. 2008;31(5):874-9. [Crossref]  [PubMed] 
  16. Durmuş A, Akbolat M, Amarat M. COVID-19 Aşı Okuryazarlığı Ölçeği'nin Türkçe geçerlilik ve güvenirliliği [Turkish validity and reliability of COVID-19 Vaccine Literacy Scale]. Cukurova Med J. 2021;46(2):732-41. [Crossref] 
  17. Kılınçarslan MG, Sarıgül B, Toraman Ç, Şahin EM. Development of Valid and Reliable Scale of Vaccine Hesitancy in Turkish Language. Konuralp Tıp Derg. 2020;12(3):420-9. [Crossref] 
  18. Şen S. Korelasyon [Internet]. [Access date: 09 Feb 2023]. [Link] 
  19. Gendler Y, Ofri L. Investigating the ınfluence of vaccine literacy, vaccine perception and vaccine hesitancy on Israeli parents' acceptance of the COVID-19 vaccine for their children: a cross-sectional study. Vaccines (Basel). 2021;9(12):1391. [Crossref]  [PubMed]  [PMC] 
  20. Gusar I, Konjevoda S, Babić G, Hnate?en D, Čebohin M, Orlandini R, et al. Pre-vaccination COVID-19 vaccine literacy in a croatian adult population: a cross-sectional study. Int J Environ Res Public Health. 2021;18(13):7073. [Crossref]  [PubMed]  [PMC] 
  21. Costantini H. COVID-19 Vaccine literacy of family carers for their older parents in Japan. Healthcare (Basel). 2021;9(8):1038. [Crossref]  [PubMed]  [PMC] 
  22. Smith D. Health care consumer's use and trust of health information sources. J Commun Healthc. 2011;4(3):200-10. [Crossref] 
  23. Gallè F, Sabella EA, Roma P, De Giglio O, Caggiano G, Tafuri S, et al. Knowledge and acceptance of COVID-19 vaccination among undergraduate students from central and southern Italy. Vaccines (Basel). 2021;9(6):638. [Crossref]  [PubMed]  [PMC] 
  24. Zhang KC, Fang Y, Cao H, Chen H, Hu T, Chen YQ, et al. Parental acceptability of COVID-19 vaccination for children under the age of 18 years: cross-sectional online survey. JMIR Pediatr Parent. 2020;3(2):e24827. [Crossref]  [PubMed]  [PMC] 
  25. Kassianos G, Kuchar E, Nitsch-Osuch A, Kyncl J, Galev A, Humolli I, et al. Motors of influenza vaccination uptake and vaccination advocacy in healthcare workers: a comparative study in six European countries. Vaccine. 2018;36(44):6546-52. [Crossref]  [PubMed] 
  26. Lin C, Mullen J, Smith D, Kotarba M, Kaplan SJ, Tu P. Healthcare providers' vaccine perceptions, hesitancy, and recommendation to patients: a systematic review. Vaccines (Basel). 2021;9(7):713. [Crossref]  [PubMed]  [PMC] 
  27. Almughais ES, Alfarhan A, Salam M. Awareness of primary health care physicians about human papilloma virus infection and its vaccination: a cross-sectional survey from multiple clinics in Saudi Arabia. Infect Drug Resist. 2018;11:2257-67. [Crossref]  [PubMed]  [PMC] 
  28. Power ML, Leddy MA, Anderson BL, Gall SA, Gonik B, Schulkin J. Obstetrician-gynecologists' practices and perceived knowledge regarding immunization. Am J Prev Med. 2009;37(3):231-4. [Crossref]  [PubMed] 
  29. Esteves-Jaramillo A, Omer SB, Gonzalez-Diaz E, Salmon DA, Hixson B, et al. Acceptance of a vaccine against novel influenza A (H1N1) virus among health care workers in two major cities in Mexico. Arch Med Res. 2009;40(8):705-11. [Crossref]  [PubMed]  [PMC] 
  30. Ye L, Chen J, Fang T, Cui J, Li H, Ma R, et al. Determinants of healthcare workers' willingness to recommend the seasonal influenza vaccine to diabetic patients: a cross-sectional survey in Ningbo, China. Hum Vaccin Immunother. 2018;14(12):2979-86. [Crossref]  [PubMed]  [PMC] 
  31. Torun SD, Torun F. Vaccination against pandemic influenza A/H1N1 among healthcare workers and reasons for refusing vaccination in Istanbul in last pandemic alert phase. Vaccine. 2010;28(35):5703-10. [Crossref]  [PubMed] 
  32. Ferrara P, Stromillo L, Albano L. Awareness, attitudes, and practices toward meningococcal b vaccine among pediatricians in Italy. Medicina (Kaunas). 2018;54(6):100. [Crossref]  [PubMed]  [PMC] 
  33. Abi Jaoude J, Khair D, Dagher H, Saad H, Cherfan P, Kaafarani MA, et al. Factors associated with Human Papilloma Virus (HPV) vaccine recommendation by physicians in Lebanon, a cross-sectional study. Vaccine. 2018;36(49):7562-7. [Crossref]  [PubMed] 
  34. Glavier M, Puyade M, Roblot F, Rammaert B. Vaccination of cancer patients treated with chemotherapy: a survey among general practitioners. Med Mal Infect. 2019;49(8):586-92. [Crossref]  [PubMed] 
  35. Pelullo CP, Della Polla G, Napolitano F, Di Giuseppe G, Angelillo IF. Healthcare workers' knowledge, attitudes, and practices about vaccinations: a cross-sectional study in Italy. Vaccines (Basel). 2020;8(2):148. [Crossref]  [PubMed]  [PMC] 

.: Up To Date

.: Process List

Login

 Forgot your password?

 New Registration  

Contact

Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com