关于可访问性的电子卫生服务的开发和评估:范围文献综述
Marika Jonsson1,2, Stefan Johansson1,3, Dena Hussain1
1School of Electrical Engineering and Computer Science, KTH Royal Institute of Technology, Stockholm, Sweden.
Journal of medical Internet research
|August 17, 2023
概括
大多数电子卫生服务缺乏明确的可访问性定义和有限的使用指南,阻碍了残疾人的包容. 开发具有可访问性指导的复杂干预措施对于电子健康的系统考虑至关重要.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 人与计算机的交互
背景情况:
- 无障碍对于包容至关重要,正如"残疾人权利公约"所示.
- 无法访问的电子健康设计可能会排除残疾人,并无意中导致残疾.
研究的目的:
- 调查有关残疾人可访问性电子卫生服务的开发和评估.
- 确定在电子卫生服务设计和评估中如何定义,解释和解决可访问性.
主要方法:
- 根据PRISMA-ScR指南进行范围文献综述.
- 搜索了四个数据库 (PubMed,Scopus,IEEE,Web of Science) 与PICO模型 (人口,干预,比较,结果) 在eHealth中的可访问性.
- 在选了8643个出版物后,包括15个关于12个电子健康服务的出版物.
主要成果:
- 在15个出版物中,只有2个定义了可访问性;5个解释了它,8个没有提供任何解释.
- 在5项研究中使用了Web内容可访问性准则 (WCAG),其中一项使用了ISO和UNE标准.
- 11项研究采用了其他方法,如用户测试,焦点小组和设计研讨会.
结论:
- 大多数电子卫生研究缺乏明确的可访问性定义,阻碍了操作化和测量.
- 在电子卫生开发和评估中,可访问性准则和标准未得到充分利用.
- 在复杂的干预开发中需要指导方针,以确保系统地考虑电子卫生中的可访问性.
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