Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Üniversite Öğrencilerinde E-Sağlık Okuryazarlığı Ölçeğinin Türkçe Geçerlilik ve Güvenilirlik Çalışması:Metadolojik Çalışma
Turkish Validity and Reliability Study of the E-Health Literacy Scale in University: Methodological Study
Şeymanur ŞENYURTa, Gülbahar KORKMAZ ASLANb
aGemlik Devlet Hastanesi, Bursa, Türkiye
bPamukkale Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Halk Sağlığı Hemşireliği ABD, Denizli, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(4):1041-50
doi: 10.5336/nurses.2023-97661
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, üniversite öğrencilerinde E-Sağlık Okuryazarlığı Ölçeği'nin geçerlilik ve güvenilirliğini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Metodolojik tipte yapılan çalışmanın evrenini 2020-2021 Bahar yarıyılında Bursa Uludağ Üniversitesinde sağlıkla ilgili fakültelerin dışındaki fakültelere kayıtlı öğrenciler oluşturmuştur. Çalışmanın örneklemini, dahil edilme kriterlerine uyan ve katılmayı kabul eden 456 öğrenci oluşturmuştur. Çalışmanın verileri Aralık 2021-Mayıs 2022 tarihleri arasında çevrim içi olarak toplanmıştır. Ölçeğin kapsam geçerliği için kapsam geçerlik indeksi, yapı geçerliği için açıklayıcı faktör analizi ve doğrulayıcı faktör analizi, güvenirliği için Cronbach alfa güvenirlik katsayısı, madde-toplam puan analizi, test-tekrar test analizleri yapılmıştır. Bulgular: Ölçeğin Kapsam Geçerlik İndeks puanı 0.96 bulunmuştur. Ölçeğin faktör yapısını belirlemek için yapılan açıklayıcı faktör analizi sonucunda 3 faktör toplam varyansın %62 açıklamıştır. Ölçeğin faktör yükleri 0.49 ile 0.85 arasında değişmiştir. Ölçek maddeleri için madde toplam korelasyoları 0.43 ile 0.77 arasında değişmiştir. Ölçeğin Cronbach alpha güvenilirlik katsayısı 0.82 bulunmuştur. Ölçeğin işlevsel okuryazarlık alt boyutu güvenirlik katsayısı 0.63, okuryazarlık alt boyutu güvenirlik katsayısı 0.77, eleştirel okuryazarlık alt boyutu güvenirlik katsayısı 0.86 bulunmuştur. Test-tekrar test ölçümlerinin ise değişkenlik göstermediği (p>0.05) belirlenmiştir. Sonuç: Bu çalışmada, üniversite öğrencilerinde e-Sağlık Okuryazarlığı Ölçeği'nin Türkçe formunun geçerli ve güvenilir olduğu belirlenmiştir. Ölçek, üniversite öğrencilerinin e-sağlık okuryazarlık düzeyini değerlendirmek için kullanılabilir. Gelecek çalışmalarda, ölçeğin farklı gruplar üzerinde geçerlilik ve güvenirlik çalışmalarının yapılması önerilebilir.

Anahtar Kelimeler: E-sağlık okuryazarlığı; üniversite öğrencileri; geçerlilik; güvenilirlik
ABSTRACT
 Objective: This study was conducted to determine the validity and reliability of the E-Health Literacy Scale in university students. Material and Methods: The study, conducted in a methodological design, included students from faculties other than healthrelated faculties at Uludağ University in the 2020-2021 Spring semester. The sample consisted of 456 students who met the inclusion criteria and agreed to participate. Data for the study were collected online between December 2021 and May 2022. Content validity index for the scale's content validity, exploratory factor analysis and confirmatory factor analysis for construct validity, Cronbach's alpha reliability coefficient for reliability, item-total score analysis, and test-retest analyses were performed. Results: The Content Validity Index for the scale was found to be 0.96. Exploratory factor analysis to determine the factor structure of the scale explained 62% of the total variance with three factors. Factor loadings for the scale ranged from 0.49 to 0.85. Item-total correlations for scale items varied between 0.43 and 0.77. The Cronbach's alpha reliability coefficient for the scale was 0.82. The reliability coefficient for the functional literacy subscale was 0.63, for the literacy subscale was 0.77, and for the critical literacy subscale was 0.86. Test-retest measurements showed no significant variability (p>0.05). Conclusion: In this study, the Turkish version of the E-Health Literacy Scale was found to be valid and reliable in university students. The scale can be used to assess the e-health literacy levels of university students. It is recommended that future studies explore the validity and reliability of the scale on different groups.

Keywords: E-health literacy; university students; validity; reliability
REFERENCES:
  1. Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42:159-73. [Crossref]  [PubMed] 
  2. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al; HLS-EU Consortium. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-8. [Crossref]  [PubMed]  [PMC] 
  3. World Health Organization. Health Literacy The Solid Facts. [Cited: November 6, 2021]. Available from: [Link] 
  4. İlgün G, Turaç İS, Orak S. Health literacy. Procedia-Social and Behavioral Sciences. 2015;174(12):2629-33. [Crossref] 
  5. Qi H, Chen S, Chen T, Gan W, Yang D, Wang Y, et al. Reliability and validity of the Chinese version of the instrument of health literacy competencies for health professionals. Nurs Open. 2023;10(2):926-38. [Crossref]  [PubMed]  [PMC] 
  6. Yakar B, Gömleksiz M, Pirinççi E. Health literacy levels and affecting factors of patients who applied to a university hospital polyclinic. Eurasian Journal of Family Medicine. 2019;8(1):27-35. [Crossref] 
  7. van der Vaart R, van Deursen AJ, Drossaert CH, Taal E, van Dijk JA, van de Laar MA. Does the eHealth Literacy Scale (eHEALS) measure what it intends to measure? Validation of a Dutch version of the eHEALS in two adult populations. J Med Internet Res. 2011;13(4):e86. [Crossref]  [PubMed]  [PMC] 
  8. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97-107. [Crossref]  [PubMed] 
  9. Karnoe A, Kayser L. How is eHealth literacy measured and what do the measurements tell us? A systematic review. Knowledge Management & E-Learning. 2015;7(4):576-600. [Crossref] 
  10. Cutilli CC, Bennett IM. Understanding the health literacy of America: results of the National Assessment of Adult Literacy. Orthop Nurs. 2009;28(1):27-32; quiz 33-4. [Crossref]  [PubMed]  [PMC] 
  11. Norman CD, Skinner HA. eHEALS: The eHealth Literacy Scale. J Med Internet Res. 2006;8(4):e27. [Crossref]  [PubMed]  [PMC] 
  12. Luo YF, Yang SC, Chen AS, Chiang CH. Associations of eHealth literacy with health services utilization among college students: cross-sectional study. J Med Internet Res. 2018;20(10):e283. [Crossref]  [PubMed]  [PMC] 
  13. Wang C, Wu X, Qi H. A Comprehensive analysis of E-health literacy research focuses and trends. Healthcare (Basel). 2021;10(1):66 [Crossref]  [PubMed]  [PMC] 
  14. Yang SC, Luo YF, Chiang CH. Electronic health literacy and dietary behaviors in taiwanese college students: cross-sectional study. J Med Internet Res. 2019;21(11):e13140. [Crossref]  [PubMed]  [PMC] 
  15. Zrubka Z, Brito Fernandes Ó, Baji P, Hajdu O, Kovacs L, Kringos D, et al. Exploring eHealth literacy and patient-reported experiences with outpatient care in the Hungarian general adult population: cross-sectional study. J Med Internet Res. 2020;22(8):e19013. [Crossref]  [PubMed]  [PMC] 
  16. Cushing CC, Steele RG. A meta-analytic review of eHealth interventions for pediatric health promoting and maintaining behaviors. J Pediatr Psychol. 2010;35(9):937-49. [Crossref]  [PubMed] 
  17. Pew Research Center [Internet]. 2021 Pew Research Center. [Cited: November 6, 2021]. Lenhart A. Teens, social media & technology overview 2015. Available from: [Link] 
  18. Hove T, Paek HJ, Isaacson T. Using adolescent eHealth literacy to weigh trust in commercial web sites: the more children know, the tougher they are to persuade. Journal of Advertising Research. 2011;51(3):524-37. [Crossref] 
  19. Park E, Kwon M. Health-related internet use by children and adolescents: systematic review. J Med Internet Res. 2018;20(4):e120. [Crossref]  [PubMed]  [PMC] 
  20. Chang LC. Health literacy, self-reported status and health promoting behaviours for adolescents in Taiwan. J Clin Nurs. 2011;20(1-2):190-6. [Crossref]  [PubMed] 
  21. Coşkun S, Bebiş H. Adolesanlarda e-sağlık okuryazarlığı ölçeği: Türkçe Geçerlik ve güvenirlik çalışması [Psychometric evaluation of a Turkish version of the e-health literacy scale (e-heals) in adolescent]. Gulhane Med J. 2015;57(7):378-84. [Crossref] 
  22. Gencer TZ. Norman ve Skinner'ın E-Sağlık Okuryazarlığı Ölçeğinin kültürel uyarlaması için geçerlilik ve güvenilirlik çalışması [Analysis of validity and reliability of norman and Skinner's E-health scale literacy for cultural adaptation]. İstanbul Üniversitesi İletişim Fakültesi Dergisi. 2017;52:131-45. [Crossref] 
  23. Chiang C, Yang S, Hsu W. Development and validation of the e-health literacy scale and investigation of the relationships between e-health literacy and healthy behavior among undergraduate students in Taiwan. Formosa J Ment Health. 2015;28:389-420.
  24. Büyüköztürk S, Çakmak EK, Akgün ÖE, Demirel F. Bilimsel Araştırma Yöntemleri. 1. Baskı. Ankara: Pegem Akademi Yayımcılık; 2012.
  25. Bryman A, Cramer D. Quantitative Data Analysis with SPSS Release 10 for Windows: A Quide for Social Scientists. 1st ed. London, UK: Routledge; 2001. [Crossref] 
  26. Streiner DL, Kottner J. Recommendations for reporting the results of studies of instrument and scale development and testing. J Adv Nurs. 2014;70(9):1970-9. [Crossref]  [PubMed] 
  27. World Health Organization. [İnternet]. [Cited: November 10, 2023]. Process of Translation and Adaptation of Instruments 2017. Available from: [Link] 
  28. Esin MN. Veri toplama yöntem ve araçları, veri toplama araçlarının güvenirlik ve geçerliği. Erdoğan S, Nahcivan N, Esin MN. editörler. Hemşirelikte Araştırma: Süreç, Uygulama ve Kritik. 1. Baskı. İstanbul: Nobel Tıp Kitabevleri; 2014. p.169-92.
  29. Maskey R, Fei J, Nguyen HO. Use of exploratory factor analysis in maritime research. AJSL. 2018;34(2):91-111. [Crossref] 
  30. Tabachnick BG, Fidell LS. Using Multivariate Statistics. 6th ed. New York, USA: Harper & Row; 1995.
  31. Alpar R. Spor, Sağlık ve Eğitim Bilimlerinden Örneklerle Uygulamalı İstatistik ve Geçerlik-Güvenirlik. 6. Baskı. Ankara: Detay Yayıncılık; 2020.
  32. Özdemir Z. Sağlık bilimlerinde likert tipi tutum ölçeği geliştirme [Development of a likert type attitude scale in health sciences]. HUHEMFAD. 2021;5:60-8. [Crossref] 
  33. Huang CL, Yang SC, Chiang CH. The associations between individual factors, eHealth literacy, and health behaviors among college students. Int J Environ Res Public Health. 2020;17(6):2108. [Crossref]  [PubMed]  [PMC] 
  34. Karagöz Y. SPSS AMOS Meta Uygulamalı Biyoistatistik. 3. Baskı. Ankara: Nobel Akademik Yayıncılık; 2021.
  35. Erkuş A. Davranış Bilimleri İçin Bilimsel Araştırma Süreci. 7. Baskı. Ankara: Akademik ve Mesleki Yayınları; 2021.

.: 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