The Hidden Patient: Why Digital Accessibility Is a Core Tenet of Healthcare Design

Physician websites are unlike any other. They are a critical point of contact for a diverse patient population—from a tech-savvy young adult booking a quick appointment to an elderly patient managing a chronic condition. For too long, the digital experience has been an afterthought, but as more of healthcare moves online, accessibility is no longer a luxury; it’s a legal and ethical imperative.
A website that is not accessible can prevent a patient from booking a crucial appointment, refilling a prescription, or accessing vital health information. It creates a barrier to care, and in the worst cases, can lead to legal action under federal laws like the Americans with Disabilities Act (ADA).
So, how can we build digital experiences that work for every patient? It starts with designing for different needs from the ground up.

 

1. Designing for an Aging Population

Older adults, who are often the most frequent users of healthcare services, face a number of unique challenges. A simple, modern design that works for a younger user can be a maze for someone with declining vision, hearing, or fine motor control.

  • Solutions:
    • Visual Clarity: Use large, readable fonts (at least 16px) with high color contrast. A simple black text on a white background is often the most effective.
    • Simplified Navigation: Limit submenus and use large, tappable buttons (a minimum of 48px is a good standard). Every page should have a clear and consistent navigation path.
    • Reduced Clutter: Minimize distractions on the page. Use a clean, single-column layout for forms and information to reduce cognitive load.

 

2. Catering to Cognitive Diversity

Patients with cognitive or learning disabilities—which can affect memory, attention, and comprehension—may find complex websites overwhelming. They need a predictable, clear, and reassuring digital environment.

  • Solutions:
    • Consistent Structure: The layout and navigation should be identical across all pages. Users should never have to guess where to find a link or a menu.
    • Plain Language: Avoid medical jargon and complex sentences. Use short paragraphs, clear headings, and bulleted lists to make content scannable and easy to digest.
    • Memory Aids: Avoid forms or processes that rely on short-term memory. Provide clear instructions and allow users to save their progress or easily correct errors without starting over.

 

3. Accommodating Sensory and Motor Impairments

For patients who are blind, deaf, or have limited mobility, a website needs to be functional without the use of a mouse, and sometimes, without sight or sound.

  • Solutions:
    • Keyboard Navigation: Ensure every element on the site—from links to buttons to form fields—is fully operable using only a keyboard.
    • Alternative Text (Alt Text): All images, charts, and icons must have descriptive alt text that a screen reader can translate into speech, allowing a visually impaired user to understand the purpose of the image.
    • Captions and Transcripts: All video or audio content must include synchronized captions and a full text transcript to accommodate patients who are deaf or hard of hearing.

 

4. The Critical Role of Accessible Forms

Digital forms—for patient intake, appointment requests, or prescription refills—are often the most common source of frustration. A poorly designed form can lead to errors and abandonment, forcing a patient to call the office or fill out a paper form in person.

  • Solutions:
    • Clear Labels: Use permanent, descriptive labels for every form field. Do not rely on placeholder text that disappears when a user begins typing.
    • Validation and Error Messages: Provide clear, user-friendly error messages after a form field is submitted. Do not use color alone (e.g., a red border) to indicate an error, as this is inaccessible to color-blind users. Instead, use a combination of color, icons, and text.
    • Logical Flow: Use a single-column layout to guide the user naturally from top to bottom. Group related questions together and ask easy, non-sensitive questions first to build trust.

 

When Digital Barriers Prevent Care

Without a patient-centered, accessibility-first approach, a healthcare website or form can fail at its most basic function, creating barriers that directly impact patient care and business operations. A lack of accessibility can break the user experience for vulnerable populations, leading to frustration, incomplete information, and the inability to access essential services. 

This isn’t just a minor inconvenience; it can mean a patient can’t schedule a critical appointment, submit a necessary medical history form, or pay a bill online, forcing them to resort to less efficient methods like phone calls or in-person visits. The breakdown in the digital experience can lead to missed appointments, staff overwhelmed with administrative tasks, and a decrease in overall patient satisfaction.

Here are some examples on how this can occur:

Internist’s Challenge: A practice’s new appointment booking page relies on a “drag-and-drop” interface to select a time slot. A patient with a motor impairment or essential tremor, who cannot accurately use a mouse, is unable to select a time. The absence of a simple drop-down menu or list view means they are locked out of the online booking process entirely and must call the office, which defeats the purpose of the digital tool.

Ophthalmologist’s Challenge: A patient with low vision trying to fill out a new patient intake form online encounters a form with small, low-contrast fonts. The text is unreadable, making it impossible to input their medical history and emergency contacts, forcing them to arrive at the clinic early to fill out a paper form, delaying their appointment and creating a logistical bottleneck for the front desk.

Cardiologist’s Challenge: A cardiology group has a website with a video explaining a complex procedure. The video lacks closed captions or a transcript. A deaf patient, trying to research their upcoming surgery, is unable to access the crucial information. They are left with unanswered questions and may feel uninformed or anxious, potentially leading to increased pre-operative phone calls or a less-informed decision about their care.

 

Building for a Healthier Digital Future

By embracing a patient-centered, accessibility-first approach, healthcare organizations can create digital platforms that are not only compliant and functional but truly inclusive. This commitment goes beyond just avoiding a lawsuit; it ensures that every patient, regardless of their ability, has equal and dignified access to the care they need. It’s a fundamental step toward building a healthier, more equitable digital ecosystem for all.

 

How Solmed Consulting Can Help

Building a truly accessible, patient-centered digital experience requires specialized expertise—it’s about more than just a template or a quick fix. At Solmed Consulting, we start every project with accessibility and compliance at its core. Our process, powered by AI and refined by our deep understanding of healthcare UX/UI standards, ensures that your website and digital forms are not only compliant with ADA and HIPAA regulations but are also intuitively designed for every patient. 

By partnering with us, you gain a team that understands the unique needs of your practice and its patients, providing a seamless digital experience that reduces administrative friction, improves patient trust, and ultimately, helps you provide better care. Don’t let digital barriers stand in the way of your patients—contact us today for a 30-minute free consultation.