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E-raamat: Medical Instrumentation: Accessibility and Usability Considerations

  • Formaat: 474 pages
  • Ilmumisaeg: 31-Oct-2006
  • Kirjastus: CRC Press Inc
  • ISBN-13: 9781420006223
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  • Formaat: 474 pages
  • Ilmumisaeg: 31-Oct-2006
  • Kirjastus: CRC Press Inc
  • ISBN-13: 9781420006223
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Two of the most important yet often overlooked aspects of a medical device are its usability and accessibility. This is important not only for health care providers, but also for older patients and users with disabilities or activity limitations. Medical Instrumentation: Accessibility and Usability Considerations focuses on how lack of usability and accessibility pose problems for designers and users of medical devices, and how to overcome these limitations.

Divided into five broad sections, the book first addresses the nature and extent of the problem by identifying access barriers, human factors, and policy issues focused on the existing infrastructure. The subsequent sections examine responses to the problem, beginning with tools for usability and accessibility analysis and principles of design for medical instrumentation. Building on this foundation, the third section focuses on recommendations for design guidelines while the fourth section explores emerging trends and future technologies for improving medical device usability. The final section outlines key challenges, knowledge gaps, and recommendations from accomplished experts in the field presented at the recent Workshop on Accessible Interfaces for Medical Instrumentation.

Integrating expert perspectives from a wide array of disciplines, Medical Instrumentation traces a clear roadmap for improving accessibility and usability for a variety of stakeholders and provides the tools necessary to follow it.
PART I Background: The Problem, Existing Infrastructure, and Possible Solutions
The Patient's Perspective on Access to Medical Equipment
3(10)
June Isaacson Kailes
Introduction
3(1)
Health Care Access
3(1)
Who Are People with Disabilities?
4(1)
Functional Limitations Increase with Age
4(1)
Taking the Broad View of Disability
4(1)
The Health Care Hassle Factor
5(1)
Healthcare Barriers for People with Activity Limitations
5(3)
Health Care Compliance with Americans with Disabilities Act
6(1)
Attitudinal Barriers
7(1)
Medical Equipment Access
8(3)
Examination Tables
8(1)
Medical Chairs
9(1)
Weight Scales
10(1)
Exercise Equipment
10(1)
Communication Between Healthcare Provider and Patient
10(1)
Summary
11(2)
Acknowledgment
11(1)
References
11(2)
Results of a National Survey on Accessibility of Medical Instrumentation for Consumers
13(16)
Jill M. Winters
Molly Follette Story
Kris Barnekow
June Isaacson Kailes
Brenda Premo
Erin Schwier
Sarma Danturthi
Jack M. Winters
Abstract
13(1)
Introduction
14(1)
Methods
14(2)
Survey Development
14(1)
Design
15(1)
Procedure
15(1)
Data Analysis
15(1)
Results
16(8)
Demographic Data
16(1)
Ranked Categories of Medical Device
17(1)
Visual Impairments
18(1)
Hearing Impairments
19(1)
Speech Impairments
19(1)
Mobility Impairments
20(1)
Cardiopulmonary Impairments
21(1)
``Other'' Impairments
22(1)
Narrative Themes of Difficulty with Using Medical Devices
22(1)
Safety Issues
22(1)
Physical Positioning and Comfort
23(1)
Patient Transfer Issues
23(1)
Visual Displays and Markings
23(1)
Activities Requiring Fine Motor Movement
24(1)
Discussion
24(5)
Acknowledgment
26(1)
References
26(3)
Emerging Human Factors and Ergonomics Issues for Health Care Professionals
29(12)
Molly Follette Story
Abstract
29(1)
Introduction
30(1)
Medical Errors
30(1)
Medication Errors
31(1)
Equipment-Related Errors
31(1)
Physical Injuries
31(3)
Patient-Handling Injuries
31(1)
Bariatric Patients
32(1)
Nursing Shortage in the U.S.
32(1)
Safe Patient-Handling Policies
33(1)
Disabled and Aging Health Care Providers
34(1)
Disabled Health Care Providers
34(1)
Aging Health Care Providers
34(1)
Health Care in the Home
35(1)
Attitudinal Barriers
36(1)
Attitudes about Disability
36(1)
Attitudes about Health Care Providers
36(1)
The Role of the FDA
37(1)
Conclusions
37(4)
Acknowledgment
37(1)
References
37(4)
Toward a New Health Care Policy: Accessible Medical Equipment and Instrumentation
41(18)
June Isaacson Kailes
Brenda Premo
Curtis Richards
Abstract
41(1)
Introduction
41(4)
Using Common Language
42(1)
Policy and Public Policy
42(2)
Access Terminology
44(1)
Understanding the Disability Policy Context
45(2)
Disability Public Policy
45(1)
Applicability to Health Care Arena
46(1)
Developing More Specific Policy
46(1)
Using Policy Instruments for Implementation
47(5)
Rights
48(1)
Rules
49(2)
Powers
51(1)
Inducements
52(1)
Additional Pressure Points
52(3)
Private Sector Strategies
52(2)
Complaints and Litigation
54(1)
Organized Labor
55(1)
Conclusion
55(4)
Acknowledgment
56(1)
References
56(3)
Role of Tax Law in the Development and Use of Accessible Medical Instrumentation
59(24)
Steven Mendelsohn
Abstract
60(1)
Introduction
60(1)
Emerging Recognition of the Problem
61(1)
Extent of the Problem
62(1)
Role of Tax Policy
63(1)
Definitional Issues
63(4)
Medical Instrumentation
64(1)
What is Medical Instrumentation?
64(1)
What Is Instrumentation?
64(1)
Accessibility
65(2)
The Marketplace
67(2)
The Commercial Marketplace
67(1)
The Tax Marketplace
67(1)
Harnessing the System
68(1)
The Beneficiaries of Tax Reform
69(1)
Opportunities and Barriers under Current Law
69(10)
Health Care Consumers
69(1)
The Medical Expense Deduction
70(1)
Current Law
70(1)
Potential Solutions
70(1)
Health Savings Accounts
71(1)
Current Law
71(1)
Potential Solution
72(1)
Employment
72(1)
Current Law
72(1)
Potential Solution
73(1)
Status of Being an Individual with a Disability
73(1)
Flexible Spending Accounts
73(1)
Current Law
73(1)
Potential Solution
74(1)
Summary of Tax Provisions for Individuals
74(1)
Private Sector Health Care Providers
74(1)
Depreciation
74(1)
Current Law
74(1)
Potential Solution
75(1)
Disabled Access Credit
75(1)
Current Law
75(1)
Potential Solution
75(1)
Barrier Removal Deduction
76(1)
Current Law
76(1)
Potential Solution
76(1)
Medical Instrumentation Manufacturers and Designers
76(1)
Research and Development Credit
76(1)
Current Law
76(1)
Potential Solution
76(1)
Work Opportunity Tax Credit
77(1)
Current Law
77(1)
Potential Solution
77(1)
Nonprofit Medical Facilities
77(1)
Income Taxes Paid by Others
77(1)
Current Law
77(1)
Potential Solution
77(1)
Sales Taxes
78(1)
Current Law
78(1)
Potential Solution
78(1)
Health Insurance Carriers
78(1)
Current Law
78(1)
Potential Solutions
79(1)
Conclusion
79(4)
Acknowledgment
80(1)
References
80(3)
PART II Tools for Usability and Accessibility Analysis
Applying the Principles of Universal Design to Medical Devices
83(10)
Molly Follette Story
Abstract
83(1)
Introduction
83(1)
Terms and Definitions
84(1)
History of the Principles of Universal Design
84(2)
Applications of the Principles of Universal Design in Health Care
86(3)
Principle 1: Equitable Use
86(1)
Principle 2: Flexibility in Use
86(1)
Principle 3: Simple and Intuitive Use
87(1)
Principle 4: Perceptible Information
87(1)
Principle 5: Tolerance for Error
88(1)
Principle 6: Low Physical Effort
88(1)
Principle 7: Size and Space for Approach and Use
89(1)
Discussion
89(2)
Potential Applications and Users
90(1)
Medical Device Testing
90(1)
Policy Considerations
90(1)
Conclusions
91(2)
Acknowledgment
91(1)
References
91(2)
Using Ethnographic Research to Develop Inclusive Products
93(8)
Stephen B. Wilcox
Abstract
93(1)
Introduction
93(1)
Ethnographic Research
94(2)
Conceptual Framework
95(1)
Methodology
95(1)
Ethnographic Observation
95(1)
Ethnographic Interviews
96(1)
Validity
96(1)
The Application of Ethnographic Research to the Development of Inclusive Products
96(3)
The Purpose of Ethnographic Research vis-a-vis Designing Home Health Care Products
96(1)
Conducting Ethnographic Research with Disabled Users
97(1)
Reporting Ethnographic Findings
98(1)
Summarizing Procedures
98(1)
Summarizing Environmental Conditions
98(1)
Summarizing Users
98(1)
Summarizing Usability Recommendations
98(1)
Using Video
99(1)
Conclusion
99(2)
References
99(2)
Educating Engineers in Universal and Accessible Design
101(18)
Robert E. Erlandson
John D. Enderle
Jack M. Winters
Abstract
101(1)
Introduction
102(1)
Universal and Accessible Design: Definitions
102(3)
Laws and Regulations for Medical Equipment
105(1)
Educational Environment
106(1)
Strategies for Integrating Universal and Accessible Design Material into Engineering Programs
107(5)
Action Research as an Integration Tool
107(2)
Use of Federal Programs in Addressing the Integration of Universal and Accessible Design into Engineering Programs
109(1)
The National Science Foundation's Research to Aid Persons with Disabilities Program: Support for Designs for Individuals with Disabilities
109(2)
National Science Foundation's Division of Undergraduate Education Programs
111(1)
NIDRR: RERC-AMI's Annual Student Design Competition on Universal Design for Accessible Medical Instrumentation
111(1)
Examples of Integration of Universal and Accessible Design Material into Engineering Programs
112(4)
Integration of Accessible/Universal Design Content into Rehabilitation Engineering Courses
112(2)
Integration of Accessible/Universal Design Content into Design Courses
114(1)
University of Connecticut and Ohio University
114(1)
Wayne State University's Enabling Technologies Laboratory (ETL)
115(1)
Integration of Accessible/Universal Design Content into Other Courses
115(1)
Introduction to Engineering Courses
115(1)
Cross-Disciplinary Courses
115(1)
Other Undergraduate Courses
116(1)
Conclusions
116(3)
References
116(3)
Assistive Technology Devices and Universal Design Assessments: Theoretical Relationships and Implications on Measurement
119(12)
Roger O. Smith
Kathy Longenecker Rust
Stephanie Siegler
Abstract
119(1)
Introduction
120(1)
Theoretical Models that Depict the Relationships of AT and UD
120(3)
The IMPACT2 Model
120(2)
The A3 Model
122(1)
Implications for Medical Equipment Design
123(2)
Mutual Interdependence of AT and UD
123(1)
AT Solutions Can Lead the Way to UD Strategies
123(1)
AT as a Type of Medical Equipment
124(1)
AT Assessments and Their Contribution to Measuring the Needs and Outcomes of UD of Medical Instrumentation
125(1)
UD Assessments
126(1)
Accessible Medical Instrumentation UD Measurement Strategies
127(1)
Conclusion
127(4)
Acknowledgment
129(1)
References
129(2)
Tools for Sensor-Based Performance Assessment and Hands-Free Control
131(12)
Gerald E. Miller
Abstract
131(1)
Introduction
131(1)
Speech Recognition Technologies
132(1)
Eye-Tracking Technologies
133(4)
Head-Tracking Technologies
137(2)
Arm/Motion Sensor Technologies
139(1)
Summary
140(3)
References
141(2)
Ergonomic Evaluation and Design of Handheld Medical Devices
143(16)
David M. Rempel
Thomas M. Armstrong
Ira Janowitz
Ergonomic Analysis Methods
144(6)
Human-Machine System
145(1)
Goals
145(1)
Machines and Tools
145(1)
Human-Machine Interactions
146(1)
Environment
147(1)
Humans
147(1)
Task Analysis Methods
147(1)
Observational Methods
148(1)
Direct Observations
148(1)
Video Recordings
148(1)
Verbal Protocols
148(1)
Special Ergonomic Analysis Methods for Upper Extremity Musculoskeletal Disorders
149(1)
Approach to the Design of Hand-Manipulated Medical Devices
150(5)
Display of Information: Perception and Cognition
152(1)
Manipulation of Device
152(1)
Holding a Device: Reducing Static Loads
153(1)
Prototype Development and Testing
153(1)
Case Study: Laboratory Pipettes
153(2)
Case Study: Capping Medication Vials
155(1)
Future Directions
155(4)
References
156(3)
Usability Testing by Multimedia Video Task Analysis
159(14)
Thomas Y. Yen
Robert G. Radwin
Abstract
159(1)
Introduction
160(1)
Multimedia Video Task Analysis
160(1)
General Description
160(1)
Current Areas of Use
161(1)
Usability Testing
161(1)
Exploratory Test
161(1)
Assessment Test
162(1)
Verification Test
162(1)
Comparison Test
162(1)
Using MVTA™
162(7)
Records and Events
162(1)
Representation of Time Information
162(2)
Representation of Activities in Time
164(1)
Hierarchical vs. Nonhierarchical Organization
164(2)
Task Analysis
166(1)
Record and Event Setup
166(1)
Event Break Point Editing
167(2)
Annotation
169(1)
Time-Based Usability Data with Multimedia Video Task Analysis
169(1)
Posture-Based Usability Data with Multimedia Video Task Analysis
170(1)
Conclusions
170(3)
References
171(2)
The Mobile Usability Lab Tool for Accessibility Analysis of Medical Devices: Design Strategy and Use Experiences
173(18)
Jack M. Winters
David R. Rempel
Molly Follette Story
Melissa R. Lemke
Alan Barr
Sean Campbell
R. Sarma Danturthi
Abstract
173(1)
Introduction
174(1)
Background
175(4)
Insights from Usability Analysis
175(1)
Insights from Universal Design
175(1)
Insights from Accessible Design
175(2)
Insights from Human Factors, Ergonomics and FDA
177(1)
Practical Considerations and Key Specifications
178(1)
Methods
179(7)
General Framework
179(1)
Preactivity Preparation Protocol
180(1)
Use of the Protocol Manager
180(1)
Preparation of Hardware
181(2)
On-Site Usability Testing
183(1)
Use of the Protocol Manager for Preparation for Data Acquisition
183(1)
Using SVDA to Collect Data
184(1)
Use of the Protocol Manager to Administer Postactivity Questionnaire
184(1)
Postactivity Evaluation Tools and Procedures
184(1)
Accessibility-Centered Task Analysis
184(2)
Integrated Analysis of Subject Populations and Devices
186(1)
Results and Discussion
186(2)
Future Directions
188(3)
Acknowledgment
189(1)
References
189(2)
Comparison of Accessibility Tools for Biomechanical Analysis of Medical Devices: What Experts Think
191(24)
Melissa R. Lemke
Jack M. Winters
Abstract
191(1)
Introduction
192(1)
Background
193(5)
Human Movement and Biomechanics
193(1)
Disability Prevalence
194(1)
Accessibility and Accessible Design
194(1)
Universal Design
195(1)
Human Factors Engineering and Ergonomics
196(1)
Current Medical Device Guidelines and Standards
197(1)
Methods
198(7)
Expert Research Packet
198(1)
Expert Participants
199(1)
Expert-Testing Protocol
199(1)
Collection and Reduction of MVTA Data
199(1)
Collecting and Reducing Protocol Manager (PM) Data
200(1)
Collecting and Reducing MED-AUDIT DATA
201(1)
Rater Data
202(1)
Expert-Based ``Importance'' Matrices for Mapping across Domains
203(1)
preMED-AUDIT Scoring Algorithm
204(1)
Reduced preMED-AUDIT Data for Expert Research Packet
205(1)
Results
205(4)
Future Directions
209(6)
MED-AUDIT
209(1)
MVTA
209(1)
PM Surveys
210(1)
Acknowledgment
210(1)
References
210(5)
PART III Considerations in Design Guideline Development
Accessibility Standards and their Application to Medical Device Accessibility
215(10)
Daryle Gardner-Bonneau
Abstract
215(1)
Introduction
215(3)
Never the Twain Shall Meet
216(1)
The Limitations of Standards and Guidelines
216(1)
The Escalation of Accessibility Standards Work
217(1)
Accessibility Meets Usability in Standards
218(1)
International Accessibility Standards Efforts to Watch
218(4)
Selected Key Standards Activities
218(1)
Software Accessibility: ISO 9241-171 and ANSI/HFES 200.2
218(1)
General Accessibility Guidance for Systems, Services, and Consumer Products---ISO TR 22411
219(2)
Other Accessibility Standards Efforts Potentially Relevant to Medical Devices
221(1)
Human Factors Applied to Medical Devices: AAMI/ANSI HE-74 and HE-75
221(1)
A Sampling of Other Accessibility Standards
221(1)
Conclusions
222(3)
References
222(3)
Human Factors Standards for Medical Devices Promote Accessibility
225(8)
Michael E. Wiklund
Abstract
225(1)
Introduction
225(2)
Evolution of Medical Standards
227(1)
Relationship of Human Factors Standards to Accessibility
228(2)
Designer Priorities
230(1)
Promoting Change
230(2)
Conclusion
232(1)
References
232(1)
Designing Accessible Medical Devices
233(10)
Ron Kaye
Jay Crowley
Abstract
233(1)
Introduction
233(1)
Defining the Users of Accessible Medical Devices
234(2)
Defining Users in Terms of Need for Accessibility
234(1)
User Populations that Need Accessible Devices
235(1)
Accessible Medical Device Design
236(5)
Medical Device User Interface
236(1)
Accessible Design Strategies
237(1)
Evaluating Safety and Risks of Device Use
238(1)
Specific Considerations for Accessible Device Designs
239(1)
The Role of the Medical Device Use Environments
240(1)
Conclusions
241(2)
References
241(2)
Letting User Ability Define Usability
243(12)
James L. Mueller
Abstract
243(1)
Introduction
243(1)
Designers are Not Users
243(1)
Principles of Universal Design
244(1)
Measures for Accessibility and Usability
244(8)
Universal Design Performance Measures
244(2)
Regulations and Guidelines for Accessibility
246(1)
User Testing: Desperately Seeking Usability
246(1)
Who Is the User?
246(1)
When to Test
247(1)
What to Test
247(1)
Where to Test
247(1)
User Testing in Context
247(1)
Real Users, Real Context: Users as Test Drivers for Wireless Products
248(1)
Sitting in on Product Development
248(4)
Conclusion: Letting Users Define Usability
252(3)
Acknowledgment
252(1)
References
252(3)
Macroergonomic and Implementation Issues of Guidelines for Accessible Medical Devices
255(12)
Pascale Carayon
Anne-Sophie Grenier
Carla Alvarado
Abstract
255(1)
Introduction
255(1)
System Design Process
256(3)
System Design Process
256(2)
Human Factors in System Design Process
258(1)
Barriers to Use of Guidelines
259(3)
Individual Variables
259(1)
Task Complexities
260(1)
Technologies and Tools
260(1)
Physical Environment
261(1)
Organizational Factors
261(1)
Barriers to Implementation of Guidelines
262(2)
Conclusions
264(3)
References
264(3)
Reducing Error and Enhancing Access to Home Use of Medical Devices: Designing from the Perspective of the Home Care Provider
267(10)
Marilyn Sue Bogner
Introduction
267(1)
Error
268(2)
Error Defined
268(1)
Error Reporting
268(1)
Provider Accountability for Error
269(1)
Research Findings for Provider Accountability
269(1)
The Nature of Error
270(1)
Error as Behavior
270(1)
Context Systems Approach to Error
270(3)
Error Research
270(1)
Context Systems
270(2)
Value of the Context Systems Artichoke Approach
272(1)
Worksheet Tool
272(1)
Error by Design
273(1)
Self Care
273(1)
Examples
273(1)
Home Care User Perspective Driven Design
274(1)
Implications
275(2)
References
276(1)
Use of Problem-Solving Tools of TRIZ to Address Equipment Design for Home Care
277(6)
John W. Gosbee
Abstract
277(1)
Introduction
278(1)
What Is TRIZ?
278(1)
Aims of This
Chapter
278(1)
The Essence of TRIZ
278(2)
Concept of Ideality or ``Ideal Final Result''
278(1)
Ideality Examples
279(1)
Resource Checklist
279(1)
Example of Resource Checklist in Action
279(1)
Design Contradictions
279(1)
Specific Nonmedical Example of Design Contradictions
279(1)
Design Contradictions in Home Health care
280(1)
TRIZ Contradiction Table
280(1)
TRIZ Separation Principles to Address Design Contradictions
280(1)
Case Studies of Home Care Equipment and TRIZ
280(1)
Example #1
281(1)
Example #2
281(1)
Example #3
281(1)
Example #4
281(1)
Relation to Usability and Human Factors Engineering Methods
281(1)
Usability Testing as a ``Feeder System'' for TRIZ
281(1)
HFE Methods and TRIZ-Inspired Designs
282(1)
Conclusion and Recommendations
282(1)
References
282(1)
Development of the Medical Equipment Device Accessibility and Universal Design Information Tool
283(14)
Roger O. Smith
Kris Barnekow
Melissa R. Lemke
Rochelle Mendonca
Melinda Winter
Todd Schwanke
Jack M. Winters
Abstract
283(1)
Introduction
284(1)
Specifications of an Accessibility Measure
284(3)
Is a Measure of Accessibility for Medical Instruments Really Necessary?
285(1)
If We Had a Magic Wand
286(1)
The Med-Audit
287(7)
MED-AUDIT Objectives
287(1)
Two Versions of the MED-AUDIT
288(1)
The Black Box System Version
288(1)
The Expert User System Version
288(1)
Concurrent Development of Versions
288(1)
Computer-Based Question and Scoring Structure: Trichotomous Tailored Branching Scoring (TTSS)
288(2)
The MED-AUDIT Taxonomy
290(1)
Black Box System Taxonomy
290(1)
Expert User Taxonomy
290(1)
Summary Scores
290(4)
MED-AUDIT Reports
294(1)
Future Directions
294(3)
Acknowledgment
295(1)
References
295(2)
Access to Medical Instrumentation: The Role of Web Accessibility
297(10)
Judy Brewer
Abstract
297(1)
Overview
297(1)
Introduction: Relevance of Web Accessibility to Medical Instrumentation
298(1)
Web Accessibility and Medical Instrumentation
298(2)
Medical Professionals, Consumers, and Caregivers
298(1)
Web-Based Information on Medical Instrumentation
299(1)
Misconceptions about Disability and Medical Instrumentation
299(1)
Web Accessibility Guidelines
300(2)
Overview of the Web Accessibility Initiative
300(1)
Current Issues and Resources in Web Accessibility
300(1)
Barriers and Misconceptions
300(1)
Integrated Web Accessibility Solutions
301(1)
Guidelines for Accessible Web Content, Authoring, and Browsing
301(1)
Resources and Actions Needed
302(5)
Issues Affecting Implementation of Web Accessibility
302(1)
Research on Baseline Awareness and Conformance
302(1)
Policy Development Specific to Medical Instrumentation
303(1)
References
303(4)
PART IV Considerations in Emerging Trends and Technologies
Technology for Full Citizenship: Challenges for the Research Community
307(14)
Katherine D. Seelman
Abstract
307(1)
Introduction and Background
308(1)
Objectives
308(1)
Approach
309(1)
Critical Theory
309(1)
Development and Diffusion Model
309(1)
Legacy of Discrimination
309(1)
Research Directions
310(1)
Selected Literature Review
310(2)
Science, Technology, and Society/Policy
310(1)
Technology Assessment and Diffusion
311(1)
Social Study of Health Technology
311(1)
Human Factors, Universal Design, and User Interfaces for All
311(1)
Summary
312(1)
Stages in the Development and Diffusion of MCledical Technologies
312(4)
Research and Development and Diffusion and Adoption Process
312(1)
Actors, Issues, and Policy Considerations
313(1)
Stages in the Development and Diffusion of Medical Devices: R&D and Evaluation
314(1)
Research and Development (R&D)
314(1)
Targeted Development and Evaluation
314(1)
Stages in the Development and Diffusion of Medical Devices: Diffusion and Adoption
315(1)
Evaluation, Manufacturing, Marketing, and Diffusion into the Health System
315(1)
Other Actors, Issues, and Strategies
315(1)
Agencies
316(1)
Legislation
316(1)
Capacity Building
316(1)
Conclusions and Research Directions
316(5)
References
317(4)
Future Possibilities for Interface Technologies that Enhance Universal Access to Health Care Devices and Services
321(20)
Jack M. Winters
Abstract
321(1)
Introduction
322(2)
Background: Technological Trends in Interfaces
324(5)
Trends in Physical Layer Interfaces
325(1)
Physics of the Physical Layer: One-Way and Two-Way Interfaces
325(1)
Display Technologies for Sensory Input and Cognitive Use
326(1)
Control (Action) Technologies for Manipulation and Expression
327(1)
Two-and One-Way Positioning and Orienting Interfaces and Tools
328(1)
Conceptual Layer Interfaces
328(1)
Methods: Approaches Enhancing Access to Health Care
329(8)
Classifying Procedural Use of Health Care Devices
329(1)
Recognize Overall Reasons for a Health Care Encounter
329(1)
Recognize Roles for Entities Participating in a HealthCare Encounter
330(1)
Recognize the Strengths of Tools Available for Analysis
331(1)
Framework for Understanding Universal Access
331(1)
Product Access and Acceptance through Designing for Abilities
332(1)
Distinctions in Dimensions of Accessibility and Usability
333(2)
Whenever Feasible, Design for Abilities and to Extend Proprioception
335(1)
Recognize Alternatives of Universal Design and Personalized Design
336(1)
Recognize That in Striving toward Universal Access, We Cannot Sacrifice Safety or Increase Risk of Use Error
337(1)
Future Directions: Initiatives and Opportunities
337(4)
Acknowledgment
338(1)
References
339(2)
Trends to Watch: Trends in Information and Communications Technology That May Influence Developments in Access to Medical Instrumentation
341(14)
Alfred S. Gilman
Abstract
342(1)
Introduction
342(1)
Looking Back
342(1)
Web Explosion vs. Wireless Web Fizzle
342(1)
Blending Presentation Principles in the CSS Cascade
343(1)
Challenges Where We Are
343(2)
The Style Economy
343(1)
No One Ever Went Broke Underestimating the Public
344(1)
Out of Sight, Out of Mind
344(1)
The Regulation Divide between Medical and ICT Markets
345(1)
Looking Around
345(5)
Enterprise Applications Value Flexible Presentation
345(1)
Medical Errors and Records Automation
346(1)
Technologies for Marshalling Application Resources for Flexible Presentation
346(1)
The Standard, or DAISY, Digital Talking Book
346(1)
The Universal Remote Console Standards
347(1)
X Forms
347(1)
XHTML 2.0
347(1)
Content Selection for Device Independence
348(1)
Technologies for Presentation Adaptation
348(1)
Semantic Web Accessibility Platform (SWAP)
348(1)
The IMS Accessibility Specification
348(1)
Multimodal Interaction Framework Rationalizes AJAX
349(1)
Technologies for Broadly Accessible Dialogs
349(1)
EZ Access
349(1)
ETSI Generic Commands
349(1)
Diamond Help
350(1)
Looking Ahead
350(2)
A Library of Predefined UI-Builder Kits
350(1)
Task-Oriented Analysis and Qualification of Interfaces
350(1)
Mixed Initiative Is the Name of the Dialog Game
350(1)
The Patient's Workbook
351(1)
Don't Expect What You Don't Inspect
351(1)
Conclusions
352(3)
Acknowledgments
352(1)
References
353(2)
Emerging Personalized Home Rehabilitation: Integrating Service with Interface
355(18)
Xin Feng
Jack M. Winters
Abstract
355(1)
Introduction
356(1)
Background
357(1)
Delivery Methods for Future Home Rehabilitation
358(9)
Telerehabilitation: Addressing the Access Barrier of Distance
358(1)
Personalized Rehabilitation Services
359(1)
Personalized Access through Web Services
359(2)
Personalizing Health Care through Ubiquitous Home Environment Technology
361(1)
Emerging Smart Wearable Health Care Technologies
362(1)
Gaming and Home Exercise
363(1)
Home Information Infrastructure: Networking and Middleware Platform
364(1)
Infrastructure for Personalized Interface: Universal Remote Console (URC) Standard and Related Technologies
365(2)
Unitherapy Technology as a Personalized Home Rehabilitation Appliance
367(3)
Conceptual Model
367(1)
Therapeutic Devices
367(1)
Assessment, Therapy, and Telerehabilitation Support
368(1)
Usability and Accessibility Design: Home Rehab Appliance and URC Standard-Related Technologies
368(2)
Future Direction
370(3)
Acknowledgment
370(1)
References
370(3)
Progress in Using the Universal Remote Console Standard to Create User Customized Interfaces for Future Medical Devices
373(20)
R. Sarma Danturthi
Pawan Shroff
Jack M. Winters
Abstract
373(1)
Introduction
374(1)
Background
375(1)
Methods
375(11)
Development of Compliant XML Files for Target Devices
375(1)
Target Discovery: The TD File
376(1)
Describing Attributes of Socket Signals: The Socket File
377(1)
Hints for Interface Generation: The Presentation (PreT) File
378(1)
Resources for Refining an Interface: The Resource Description (RD) Framework
379(1)
Summary
380(1)
Development of a MedURC Interface Generator
381(1)
Implementation of a Cross-Platform Simulation Framework
382(4)
Results and Discussion
386(2)
Human Subjects Pilot Study
386(2)
Future Directions
388(5)
Acknowledgment
390(1)
References
390(3)
Usability and Access Issues in Telerehabilitation
393(12)
Linda van Roosmalen
Abstract
393(1)
Introduction
393(6)
Telerehabilitation in Service Delivery
394(1)
Research on Telerehabilitation
395(1)
Outcome Studies
395(2)
Telerehabilitation Applications and Interfaces
397(1)
Telerehabilitation Services
397(1)
Telerehabilitation Technology
398(1)
Usability and Access Issues
399(2)
Other Issues
400(1)
Need for Structure: Aims of the RERC on Telerehabilitation
401(2)
Discussion
403(2)
References
403(2)
Applications and Issues with Wireless Technology in Medical Care
405(14)
John W. Peifer
Michael L. Jones
Abstract
405(1)
Introduction
406(1)
Wireless Overview
406(2)
Progression of Wireless History
406(1)
Wireless from Marconi's Days in Late 19th Century
407(1)
Generations of Cell Phone Advances
407(1)
Wireless Networking
407(1)
Emerging Trends
408(6)
Wireless Networking Technologies
408(1)
Wide Area Broadband Wireless
408(1)
Low-Cost, Low-Power Wireless ZigBee
408(1)
Wireless Applications and Sensors
408(1)
Data Networks May Accelerate Voice over Internet Protocol (VoIP)
408(1)
Universal Remote Console: Alternative Wireless Interface
409(1)
Radio Frequency Identification
410(1)
Motes
410(1)
Internal and Implantable Sensors
411(1)
Wireless Medical Information Systems
411(1)
Wireless Alerts: Call for Help, Notify Care Providers
411(1)
Wireless Assistance for Cognitive Impairment
412(1)
Wireless Integration of Electronic Medical Record
412(1)
Wireless Concerns
413(1)
Security and Privacy
413(1)
Interference with Other Devices
413(1)
Future Directions
414(5)
Improved Accessibility and Usability for Caregivers
414(1)
Context Awareness Simplifies Interface
414(1)
Internal Sensors May Eliminate Some Diagnostic Procedures
415(1)
References
415(4)
PART V Outputs of the Workshop: Key Knowledge Gaps, Barriers, Recommendations
Report of the Workshop on Accessible Interfaces for Medical Instrumentation: Draft Guidelines and Future Directions
419(26)
Jack M. Winters
Molly Follette Story
Abstract
419(1)
Introduction
420(1)
Methods: Organization and Implementation of the Workshop
420(13)
Breakout Themes and Bullet Generation Process
420(1)
Breakout Theme A: Physical Positioning/Orienting of Patient to Device
421(4)
Breakout Theme B: Interfaces for Monitoring Devices
425(1)
Breakout Theme C: Interfaces for Home Health Care Devices
425(3)
Breakout Theme D: Emerging Interfaces for Patients with Disabilities
428(1)
Breakout Theme E: Emerging Interfaces for Aging and Disabled Providers
429(4)
Ranking of Bullet Points and Integration of Data
433(1)
Results
433(10)
Vision 2010 Statements
435(1)
Challenges and Barriers to Achieving Vision
436(2)
Knowledge Gaps and Action Items
438(2)
Recommendations and Opportunities
440(3)
Discussion and Future Directions
443(2)
Acknowledgment
444(1)
Appendix: Special Workshop Contributions: Participant Commentaries
444(1)
Appendix 1 Chairs' Perspectives on Workshop Breakout Theme C: Interfaces for Home Health Care Devices
445(4)
Daryle Gardner-Bonneau
Binh Q. Tran
Status and Trends
445(1)
Vision Statements
446(1)
Challenges and Barriers to Vision
446(1)
Knowledge Gaps and Action Items
447(1)
Recommendations
447(1)
Discussion
447(2)
Appendix 2 Commentary on Distinguishing Accessibility from Accommodation
449(2)
David Baquis
Appendix 3 Commentary on Data, Models, and Procedures for Design of Accessible Medical Instrumentation
451(2)
Thomas J. Armstrong
Appendix 4 Commentary on What Is Accessibility? And What Does It Have to Do with Medical Device Design?
453(2)
Ron Kaye
Jay Crowley
Appendix 5 Commentary on the Difference between ``Usability'' and ``Accessibility,'' Which May Be the End Users
455(2)
Molly Follette Story
Glossary of Terms 457(6)
Index 463


Jack M. Winters, Ph.D., is professor of biomedical engineering and John P. Raynor Distinguished Chair at Marquette University and director of the RERC on Accessible Medical Instrumentation. Since receiving a Ph.D. in bioengineering from the University of California, Berkeley and San Francisco, he has been a biomedical engineering faculty member for 20 years, twice serving as department chair. His areas of research include movement biomechanics, neurorehabilitation, telerehabilitation, and accessible medical instrumentation. Molly Follette Story, M.S., is president of Human Spectrum Design, L.L.C. and codirector of the RERC on Accessible Medical Instrumentation. From 1994 to 2004, she was coordinator of research at the Center for Universal Design at North Carolina State University and twice served as its interim executive director. She is also a Ph.D. student in ergonomics at University of CaliforniaBerkeley.