This study investigates the accessibility of open-source electronic health record (EHR) systems for individuals who are visually impaired or blind. Ensuring the accessibility of EHRs to visually impaired users is critical for the diversity, equity, and inclusion of all users. The study used a combination of automated and manual accessibility testing techniques like screen readers to evaluate the accessibility of three widely used open-source EHR systems. Our assessment focused on the performance of three popular screen readers, including JAWS (Windows), NVDA (Windows), and Apple VoiceOver (OSX). The evaluation revealed that although each of the three systems was partially accessible, there is room for improvement, particularly regarding keyboard navigation and screen reader compatibility. The study concludes with recommendations for making EHR systems more inclusive for all users and more accessible.

翻译：本研究探究了开源电子健康记录系统在盲人或视障用户群体中的可访问性。确保电子健康记录系统对视障用户的可访问性，对于实现所有用户的多样性、公平性与包容性至关重要。研究采用自动与手动相结合的可访问性测试技术（如屏幕阅读器），对三种广泛使用的开源电子健康记录系统进行了可访问性评估。评估重点聚焦 JAWS（Windows系统）、NVDA（Windows系统）及 Apple VoiceOver（OSX系统）这三款主流屏幕阅读器的性能表现。结果表明，虽然三个系统均具备部分可访问性，但在键盘导航与屏幕阅读器兼容性方面仍存在改进空间。研究最后提出了提升系统包容性与可访问性的优化建议。