Enhancing Sustainability through Accessible Health Platforms: A Scoping Review

Domenica Ramírez-Saltos, Patricia Acosta-Vargas (), Gloria Acosta-Vargas, Marco Santórum, Mayra Carrion-Toro, Manuel Ayala-Chauvin, Esteban Ortiz-Prado, Verónica Maldonado-Garcés and Mario González-Rodríguez
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Domenica Ramírez-Saltos: Intelligent and Interactive Systems Laboratory, Universidad de Las Américas, Quito 170125, Ecuador
Patricia Acosta-Vargas: Intelligent and Interactive Systems Laboratory, Universidad de Las Américas, Quito 170125, Ecuador
Gloria Acosta-Vargas: Facultad de Medicina, Pontificia Universidad Católica del Ecuador, Quito 170143, Ecuador
Marco Santórum: Departamento de Informática y Ciencias de la Computación, Escuela Politécnica Nacional, Quito 170525, Ecuador
Mayra Carrion-Toro: Departamento de Informática y Ciencias de la Computación, Escuela Politécnica Nacional, Quito 170525, Ecuador
Manuel Ayala-Chauvin: Centro de Investigación en Ciencias Humanas y de la Educación, Universidad Tecnológica Indoamérica, Ambato 180103, Ecuador
Esteban Ortiz-Prado: One Health Research Group, Universidad de Las Américas, Quito 170125, Ecuador
Verónica Maldonado-Garcés: Facultad de Psicología, Pontificia Universidad Católica del Ecuador, Quito 170143, Ecuador
Mario González-Rodríguez: Intelligent and Interactive Systems Laboratory, Universidad de Las Américas, Quito 170125, Ecuador

Sustainability, 2023, vol. 15, issue 22, 1-38

Abstract: The digital transformation of healthcare platforms has ushered in a new era of accessibility, making health information and services widely available. This comprehensive scoping review delves into the accessibility landscape of health platforms by analyzing 29 carefully selected research articles. These studies employ automated tools and manual evaluations to evaluate platform accessibility comprehensively. This study revealed that (52%) of these articles are based on automated methods, while 34% combine automated and manual approaches. Most studies show compliance with the latest versions of the Web Content Accessibility Guidelines (WCAG), with a significant focus (70%) on compliance with level A. This study reveals recurring issues within the perceivable operable, understandable, and robust categories, underscoring the pressing need for strict the accessibility testing of health platforms. This study demonstrates substantial agreement between raters, reinforced by a Cohen’s kappa coefficient of 0.613, indicating their reliability in classifying the articles. Future efforts should persist in refining accessibility standards, advocating for compliance with the WCAG, exploring innovative methods to assess the accessibility of healthcare platforms, and conducting user-centered research. This review highlights the paramount importance of ensuring equitable access to health information and services for people, regardless of their abilities or conditions, which resonates significantly with the issue of sustainability in healthcare and its socioeconomic and environmental implications.

Keywords: accessible; digital platforms; respiratory rehabilitation; scoping review; therapeutic education; sustainability (search for similar items in EconPapers)
JEL-codes: O13 Q Q0 Q2 Q3 Q5 Q56 (search for similar items in EconPapers)
Date: 2023
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