The Importance of Accessibility and Usability in Healthcare Self-Service Kiosks
Updated 12/4/2024
More than ever, healthcare kiosks are an essential tool for serving patients. Self-service devices have become standard in the patient journey. They can streamline appointment check-ins, update patient information, collect outstanding balances, provide wayfinding in healthcare facilities, measure blood pressure and perform other diagnostic testing, enable telehealth services, and more.
Self-service technology has become increasingly prevalent across various industries, and healthcare is far from the exception. According to Industry, ARC’s Self-Service Kiosk Forecast, the self-service kiosk market is estimated to surpass the $35.8 billion mark by 2026, with an expected growth rate of 6.4% from 2021 to 2026.
The rampant growth of self-service devices in healthcare is likely, in part, a result of the COVID-19 pandemic. A Market Report by Grand View Research estimates that the medical kiosk market grew 10.4% from 2020 to 2021. In 2021, the global medical kiosk market size was valued at 1.1 billion USD, and that number is expected to expand at a compounded annual growth rate of 14.8% from 2022 to 2030.
Innovations in the self-service medical space are not new: this 2013 article in Forbes shows diagnostic kiosks placed in pharmacies and grocery stores. And in 2030, the revenue forecast for the medical kiosk market is 3.8 billion USD. Self-service functionality in the healthcare space is here to stay.
Healthcare kiosks have several use cases that can improve patient care. However, without a thorough understanding of how and why accessible features must be implemented and reviewed, patient care is at risk of being compromised for a substantial portion of the population.
Patient Care and Disabilities: Why Accessibility is Vital
Ensuring healthcare services provided through a kiosk are accessible to people with disabilities is part of a healthcare provider’s obligations under the Americans with Disabilities Act (ADA). Healthcare services provided by state and local government agencies are covered by Title II of the ADA. Title III of the ADA, which addresses places of public accommodation, covers healthcare services provided by private and nonprofit organizations.
There are over 70 million adults in the United States living with some form of disability, according to the Centers for Disease Control and Prevention (CDC).
Disabilities can impact various aspects of life, including mobility, cognition, and vision. Specifically, the World Health Organization (WHO) reports that over 282 million people globally are affected by blindness and low vision, a number expected to rise by 72% over the next 11 years.
When considering the widespread need for accessibility in healthcare self-service devices, it is important to note that patient demographics skew older, and so does the percentage of people with disabilities. For example, 80% of those who are blind are over 50 years old, according to WHO.
The Census Bureau estimates that about 46% of Americans ages 75 and older and 24% of those ages 65 to 74 report having a disability, compared with 12% of adults ages 35 to 64 and 8% of adults under 35.
According to The Institute of Medicine’s Committee on the Future Health Care Workforce for Older Americans, older adults use far more healthcare services than younger groups. A large majority of older adults (approximately 82%) have at least one chronic disease that requires ongoing care and management. And over the coming decades, the total number of Americans ages 65 and older will increase sharply.
As a result, an increasing number of older Americans will be living with illness and disability, and more care providers and resources will be required to meet their needs for healthcare services.
As healthcare continues to embrace digital transformation, self-service kiosks have become an essential tool for enhancing patient experience and streamlining operations. These kiosks are increasingly used for check-ins, medication ordering, scheduling, and other key services, allowing patients to engage with their healthcare more independently and efficiently.
An accessible and usable self-service kiosk empowers equal access to healthcare kiosks for all patients, regardless of disability. This means designing an on-screen interface that follows best practices in accessible design. It also means ensuring that the kiosk is positioned and designed to be usable by people using wheelchairs and scooters, provides accessible ways for people with disabilities.
New HHS Regulations and Section 504 Compliance
Adding weight to the ADA, in May 2024 the Department of Health and Human Services (HHS) published regulations supporting Section 504 of the Rehabilitation Act, adding accessibility requirements for healthcare providers that receive federal funding. These requirements recognize the critical role that accessible kiosks play in providing fair, independent access to healthcare facilities and services.
ACA Section 1557: Expanding Accessibility in Healthcare
Further strengthening accessibility protections, ACA Section 1557 mandates that healthcare services and digital tools, including self-service kiosks, patient portals, and payment systems, be accessible to people with disabilities and those with limited English proficiency.
As the nondiscrimination provision of the Affordable Care Act (ACA), Section 1557 requires healthcare providers and insurers to ensure accessibility in all digital and physical interactions. This may involve integrating screen readers, enabling headphones for audio assistance, and providing language support services, ensuring equitable access to healthcare services across diverse patient populations.
By adhering to ADA, Section 504, and ACA Section 1557 accessibility standards, healthcare providers empower patients of all abilities to engage in their healthcare independently and confidently; providing vital resources that support the independence, dignity, and equitable healthcare access of people with disabilities.
Creating an Accessible Healthcare Kiosk
To comply with the ADA and ensure usability, healthcare kiosks must first be made physically accessible.
Wheelchair users need to be able to access the kiosk. This is a requirement of the ADA, which outlines specific compliance guidelines for the height of operable parts, the viewing angle, and the approach area for accessing the kiosk. The approach area requires a clear path without stairs, uneven flooring, or objects to obstruct access.
Once physical accessibility has been established, turn your attention to an equally vital component: software. The kiosk application must be accessible to someone who is blind or has low vision. The kiosk needs to have a screen reader, such as JAWS® for Kiosk, to turn text into speech.
Touchscreens may be difficult for people with disabilities, so an external input/navigation device is also useful to allow users to engage with a kiosk without using a touchscreen. The kiosk application must be developed to ensure it can be easily navigated and understood when read through a screen reader. and website guidelines for accessibility must also be incorporated. The kiosk application must be developed to ensure conformance and usability according to accessibility best practices and the latest WCAG 2.1 AA standards.
See An Accessible Patient Check-In Kiosk in Action
During the 2023 HIMSS Global Health Conference, Storm Interface US Operations Manager Nicky Shaw used the patient check-in experience to demonstrate common barriers for vision-impaired patients.
Planning Your Accessible Healthcare Kiosk: Keep These Questions in Mind
- What application will you be using? Is it already accessible? If yes, can you improve usability for kiosk users?
- Is the kiosk hardware ADA-compliant for height and reach specifications?
- Does the kiosk include an input device with an audio jack? Using an input device that includes an audio jack allows JAWS® to turn off and on based on the presence of the headphones. Learn more about selecting the right input device for your accessible kiosk.
- Are you providing information in a way that is accessible to all users, including those who are deaf or hard of hearing, and those who are blind or who have low vision? That includes any PDFs being read on the screen, videos needing captioning, and document signing for HIPAA compliance.
- Are you protecting user privacy at every turn?
Ensuring Privacy with an Accessible Kiosk
In any healthcare setting, kiosks must provide an accessible and private user experience for all patients. This means including accessibility features to allow a blind or low-vision user to use the kiosk without assistance and not broadcasting personal information out to the entire room. In order to protect patient privacy, all patients with disabilities should be able to use kiosks without the need for third-party assistance.
You can protect patient privacy with kiosks by providing a privacy screen that shields others from viewing the screen. Additionally, proximity switches that reset the kiosk when a user is finished should be implemented, and kiosk software must clear user data between each session.
Protecting Patients with Clean Kiosks
The need to protect patients and healthcare workers from exposure and relieve healthcare workers from unnecessary tasks was of utmost importance during the COVID-19 healthcare crisis, but the question of kiosk cleanliness is always relevant in a healthcare setting.
Anti-microbial touchscreen films and surfaces are available through some kiosk manufacturers.
Kiosks can be easily overlooked on cleaning schedules and are only cleaned if they are considered a priority by janitors and staff. Therefore, it is also important to discuss cleaning procedures and appropriate cleaning supplies for washing kiosks and kiosk accessories such as input devices.
Here are some resources about cleaning kiosks and peripheral devices:
- Cleaning Storm Interface Devices.
- Antibacterial Touch Screen Wipes for Kiosks.
- How to Clean Touch Screens.
Patients should take the same precautions when using a kiosk as when they handle a shopping cart. If facilities provide appropriate cleaning supplies for patients to use prior to utilizing the kiosk or upon completion of usage (like at a gym), then the kiosks will preserve both user safety and that of healthcare staff.
What’s Next for Healthcare Facilities with Kiosks
Retrofitting accessibility software and physical guidelines is an option for kiosks that are already deployed in a healthcare setting. Kiosk input devices and screen reader software can be added, and applications can be updated, to provide an accessible experience.
If new kiosks are still being deployed, it is more cost-effective to consider an accessible design earlier in the production phase, or before new kiosks are manufactured. The costs to build an accessible kiosk are marginally higher than those of an inaccessible one.
Implementing usable and accessible self-service kiosks requires careful consideration and expertise. This is where accessibility experts, like the team at TPGi, can provide valuable guidance. Experienced consultants can help develop and implement inclusive healthcare kiosks, which maximize inclusion for patients and optimize efficiency for healthcare operations. Schedule a call to speak about your kiosk project today.