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            <front>

                <journal-meta>
                                                                <journal-id>ktd</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Kocatepe Tıp Dergisi</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">3061-9904</issn>
                                                                                            <publisher>
                    <publisher-name>Afyonkarahisar Sağlık Bilimleri Üniversitesi</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.18229/kocatepetip.1679785</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Health Management</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Sağlık Yönetimi</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>E-SAĞLIK OKURYAZARLIĞI VE HASTANE SEÇİMİNİ ETKİLEYEN FAKTÖRLER: KESİTSEL BİR ÇALIŞMA</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="en">
                                    <trans-title>E-HEALTH LITERACY AND FACTORS INFLUENCING HOSPITAL CHOICE: A CROSS-SECTIONAL STUDY</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-9419-4816</contrib-id>
                                                                <name>
                                    <surname>Gül</surname>
                                    <given-names>İsa</given-names>
                                </name>
                                                                    <aff>Afyonkarahisar Sağlık Bilimleri Üniversitesi, Sağlık Bilimleri Fakültesi, Sağlık Yönetimi Bölümü</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20260416">
                    <day>04</day>
                    <month>16</month>
                    <year>2026</year>
                </pub-date>
                                        <volume>27</volume>
                                        <issue>2</issue>
                                        <fpage>188</fpage>
                                        <lpage>196</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20250419">
                        <day>04</day>
                        <month>19</month>
                        <year>2025</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20250821">
                        <day>08</day>
                        <month>21</month>
                        <year>2025</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 1999, Kocatepe Tıp Dergisi</copyright-statement>
                    <copyright-year>1999</copyright-year>
                    <copyright-holder>Kocatepe Tıp Dergisi</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>AMAÇ: Günümüzde insanlar, hastaneler hakkında bilgiye ulaşmak için internet üzerindeki zengin veri kaynaklarını kullanmaktadır. Ancak, hastane seçiminde bu bilgileri değerlendirmek için e-sağlık okuryazarlığı becerileri gereklidir. Bu sayede kişiler, hastane bilgilerini doğru bir şekilde ele alabilir ve daha rasyonel kararlar verebilirler. Bu çalışmanın amacı, toplumdaki insanlar arasında e-sağlık okuryazarlığı ve hastane seçimini etkileyen faktörleri incelemektir.GEREÇ VE YÖNTEM: Bu çalışmada tanımlayıcı ve kesitsel bir tasarım kullanılmıştır. Çalışmanın örneklem grubunu Türkiye&#039;de Afyonkarahisar il merkezinde yaşayan 420 kişi oluşturmaktadır. Araştırma verileri e-sağlık okuryazarlığı ölçeği ve hastane seçim anketi kullanılarak elde edilmiştir. Verilerin analizinde tanımlayıcı istatistikler, korelasyon analizi, kümeleme analizi ve PLS-SEM yöntemi kullanılmıştır.BULGULAR: Katılımcıların e-sağlık okuryazarlığı puan ortalaması 3,73±0,74 ve toplam puan ortalaması 29,92±5,92&#039;dir. Hastane seçiminde en önemli faktörler hijyen, hekim tutumu ve hastane donanımıdır. Katılımcılar hastane seçimlerinde sırasıyla hizmet kalitesi, tüketiciye maliyet, personel, fiziksel unsurlar ve tanınırlığa önem vermiştir. Kümeleme analizi, katılımcıları üç kümeye ayırmıştır. Kümelerin e-sağlık okuryazarlığı ve hastane seçimi puanları arasında anlamlı farklılıklar vardı (p&amp;lt; 0,05). Buna ek olarak, e-sağlık okuryazarlığı hasta hizmet kalitesi (β=0,256), tüketiciye maliyet (β=0,198), personel (β=0,305) , fiziksel unsurlar (β=0,219) ve itibar (β=0,19) boyutları için anlamlı bir yordayıcıdır.SONUÇ: Kişilerin hastane seçiminde önemli olduğunu düşündükleri faktörler, hastaneler için öncelikli iyileştirme alanları sağlayabilir. Hastaneler, bu önemli faktörlere daha fazla kaynak ayırabilir. E-sağlık okuryazarlığı, hastane seçimi boyutlarının önemi üzerinde olumlu bir etkiye sahiptir. E-sağlık okuryazarlığı artırılarak kişilerin hastane tercihlerini bilinçli bir şekilde yapmaları mümkün olabilir.</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="en">
                            <p>OBJECTIVE: Today, people seek information about hospitals from rich data sources on the Internet. However, evaluating this information requires e-health literacy skills when choosing a hospital. In this way, individuals can handle hospital information correctly and make more rational decisions. This study aimed to examine e-health literacy and factors influencing hospital choice among individuals in society.MATERIAL AND METHODS: The study adopted a descriptive and cross-sectional research design. The sample consisted of 420 participants residing in the central area of Afyonkarahisar, Turkey. The data for this research were collected utilizing the e-health literacy scale and the hospital choice questionnaire. Descriptive statistics, correlation analysis, cluster analysis and PLS-SEM method were used to analyze the data.RESULTS: The mean e-health literacy score of the participants was 3.73±0.74 and the mean total score was 29.92±5.92. The most important factors in hospital choice are hygiene, physician attitude and hospital equipment. Individuals gave importance to service quality, cost to the consumer, staff, physical elements and reputation as dimensions in hospital choices, respectively. Cluster analysis categorized the respondents into three clusters. There were significant differences between the e-health literacy and hospital choice scores of the clusters (p&amp;lt; 0.05). Moreover, e-health literacy is a significant predictor for the dimensions of service quality (β = 0.256), cost to the consumer (β = 0.198), staff (β = 0.305), physical elements (β = 0.219) and reputation (β = 0.19).CONCLUSIONS: The factors that individuals consider important in hospital choice can provide important areas of improvement for hospitals. Hospitals can allocate more resources to these important factors. Enhancing e-health literacy positively influences the significance of factors considered when choosing a hospital. With improved e-health literacy, individuals can make well-informed decisions regarding hospital selection.</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>Karar Verme</kwd>
                                                    <kwd>  E-Sağlık Okuryazarlığı</kwd>
                                                    <kwd>  Hastane</kwd>
                                                    <kwd>  Hastane Seçimi</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="en">
                                                    <kwd>Decision Making</kwd>
                                                    <kwd>  E-Health Literacy</kwd>
                                                    <kwd>  Hospital</kwd>
                                                    <kwd>  Hospital Choice.</kwd>
                                            </kwd-group>
                                                                                                            </article-meta>
    </front>
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