Accessibility of United States ophthalmology hospital webpages to people with visual disabilities

Mostafa Bondok , Mohamed S. Bondok , Rishika Selvakumar , Christian El-Hadad , Edsel Ing
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Abstract

Purpose

Enhancing the accessibility of ophthalmology webpages can help individuals with vision access needs obtain essential appointment information, educational resources, and available ophthalmic services. This study evaluated the accessibility of these webpages for patients with visual impairment and color vision deficiencies.

Design

Retrospective cross-sectional study.

Methods

In February 2024, the Web Content Accessibility Guidelines 2.0 (WCAG 2.0) were used to assess the accessibility of the web homepages of the top-ranked ophthalmology institutes in the United States using three evaluation tools: AChecker, ARC Toolkit, and WAVE. The webpages of the 38 top-ranked hospitals for ophthalmology in the 2023 US News & World Report were evaluated.

Results

All assessed ophthalmology hospital and institute webpages had accessibility issues. The issues identified by each tool significantly impeded webpage navigation, with the mean number of issues as follows: AChecker (13.08, SD = 14.51), ARC Toolkit (16.21, SD = 17.68), and WAVE (6.47, SD = 7.14). The mean number of color contrast issues per website was 10.18 (SD = 15.84), present in 87 % (33/38) of the websites assessed. Most issues made information and interface components difficult to perceive (297/497, 59.76 %), and websites difficult to navigate or operate (145/497, 29.18 %). Common issues affecting people who are blind or have low vision and rely on screen readers included the absence of alternative text for images, hyperlinks without destination information, and missing instructions for user data input (e.g., search bars).

Conclusions

Ophthalmology webpages should be revised to comply with WCAG guidelines to improve accessibility for people with vision access needs. Addressing these issues can reduce information inequities for patients with visual disabilities and enhance their understanding of clinical processes, treatment, care plans, and available services such as transportation and online support groups.

美国眼科医院网页对视障人士的无障碍性。
目的提高眼科网页的可访问性可以帮助有视力障碍的人获得必要的预约信息、教育资源和可用的眼科服务。本研究评估了这些网页对视力障碍和色觉缺陷患者的可访问性。方法在 2024 年 2 月,使用《网页内容可访问性指南 2.0》(WCAG 2.0)中的三种评估工具,对美国排名靠前的眼科机构的网页的可访问性进行了评估:AChecker、ARC Toolkit 和 WAVE。结果所有被评估的眼科医院和研究所的网页都存在可访问性问题。每种工具发现的问题都严重阻碍了网页的浏览,问题的平均数量如下:AChecker(13.08,SD = 14.51)、ARC Toolkit(16.21,SD = 17.68)和 WAVE(6.47,SD = 7.14)。每个网站的色彩对比度问题平均为 10.18 个(标准差 = 15.84),在 87% 的受评网站(33/38)中存在。大多数问题导致信息和界面组件难以感知(297/497,59.76 %),网站难以浏览或操作(145/497,29.18 %)。影响盲人或低视力并依赖屏幕阅读器的人的常见问题包括:图片没有替代文本、超链接没有目的地信息、用户数据输入(如搜索栏)说明缺失。解决这些问题可以减少视力残疾患者在信息方面的不平等,提高他们对临床过程、治疗、护理计划以及交通和在线支持小组等可用服务的理解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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