{"id":326,"date":"2023-05-16T13:47:43","date_gmt":"2023-05-16T11:47:43","guid":{"rendered":"https:\/\/blogs.fu-berlin.de\/hci2023\/?p=326"},"modified":"2023-05-16T14:09:15","modified_gmt":"2023-05-16T12:09:15","slug":"a3-t4-usability-der-epa-in-kombination-mit-bedienungshilfen","status":"publish","type":"post","link":"https:\/\/blogs.fu-berlin.de\/hci2023\/2023\/05\/16\/a3-t4-usability-der-epa-in-kombination-mit-bedienungshilfen\/","title":{"rendered":"[A#3, T4] Usability der ePA in Kombination mit Bedienungshilfen."},"content":{"rendered":"\n<h4 class=\"wp-block-heading\"><strong>Define the goals of your data collection session.<\/strong><\/h4>\n\n\n\n<ol class=\"wp-block-list\"><li>Welche Bedienhilfen werden genutzt und wie sind die Erfahrungen damit.<\/li><li>Nutzen Menschen mit gro\u00dfer Schriftgr\u00f6\u00dfe h\u00e4ufig schlecht gestaltete Apps?<\/li><li>Ist die TK ePA Implementierung in der Lage vom System kommende Einstellungen gut umzusetzen?<\/li><li>Gibt es weitere Einstellungen in der TK app?<\/li><\/ol>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Based on your goal, derive the stakeholders you want to collect data from.<\/strong><\/h4>\n\n\n\n<ol class=\"wp-block-list\"><li>Menschen die wahrscheinlich gro\u00dfe Schriftgr\u00f6\u00dfe eingestellt haben<\/li><li>Menschen die eingeschr\u00e4nkt sehen aber trotzdem Regelm\u00e4\u00dfig im Alltag digitale Anwendungen nutzen.<\/li><\/ol>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Start with collecting information without approaching your stakeholders<\/strong><\/h4>\n\n\n\n<h5 class=\"wp-block-heading\">The TK App<\/h5>\n\n\n\n<p>The ePA of the Techniker Krankenkasse is called <strong>\u201cTK Safe Patientenakte\u201d<\/strong> is embedded within the offical service app of the health insurance provider, alongside other features related to health insurance services.<br>The ePA alongside the complete app are developed<strong> in-house<\/strong> by developers of Techniker Krankenkasse.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"634\" data-id=\"336\" src=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-8-1024x634.png\" alt=\"\" class=\"wp-image-336\" srcset=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-8-1024x634.png 1024w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-8-300x186.png 300w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-8-768x475.png 768w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-8-1200x743.png 1200w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-8.png 1346w\" sizes=\"auto, (max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"923\" data-id=\"337\" src=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-10-1024x923.png\" alt=\"\" class=\"wp-image-337\" srcset=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-10-1024x923.png 1024w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-10-300x270.png 300w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-10-768x692.png 768w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-10-1536x1385.png 1536w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-10-1200x1082.png 1200w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-10.png 1738w\" sizes=\"auto, (max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"488\" data-id=\"348\" src=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/Screenshot-2023-05-16-at-13.31.50-1024x488.png\" alt=\"\" class=\"wp-image-348\" srcset=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/Screenshot-2023-05-16-at-13.31.50-1024x488.png 1024w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/Screenshot-2023-05-16-at-13.31.50-300x143.png 300w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/Screenshot-2023-05-16-at-13.31.50-768x366.png 768w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/Screenshot-2023-05-16-at-13.31.50.png 1096w\" sizes=\"auto, (max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><\/figure>\n<\/figure>\n\n\n\n<p>The ePA itself is divided into two main tabs within the \u201cTK Safe Patientenakte\u201d. In the first, a user can look at documents associated with prior visits. If they do not exist yet or were provided on paper, the user can add them manually themselves.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"505\" height=\"1024\" data-id=\"338\" src=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-5-505x1024.png\" alt=\"\" class=\"wp-image-338\" srcset=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-5-505x1024.png 505w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-5-148x300.png 148w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-5.png 631w\" sizes=\"auto, (max-width: 505px) 85vw, 505px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"506\" height=\"1024\" data-id=\"340\" src=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-6-506x1024.png\" alt=\"\" class=\"wp-image-340\" srcset=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-6-506x1024.png 506w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-6-148x300.png 148w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-6.png 632w\" sizes=\"auto, (max-width: 506px) 85vw, 506px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"507\" height=\"1024\" data-id=\"339\" src=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-7-507x1024.png\" alt=\"\" class=\"wp-image-339\" srcset=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-7-507x1024.png 507w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-7-149x300.png 149w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-7.png 634w\" sizes=\"auto, (max-width: 507px) 85vw, 507px\" \/><\/figure>\n<\/figure>\n\n\n\n<p>The second provides a history of all the doctor visits that a patient did that were recorded in the ePA. Here the user can also add prior visits that have not been digitalised yet.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-3 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"498\" height=\"1024\" data-id=\"341\" src=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-11-498x1024.png\" alt=\"\" class=\"wp-image-341\" srcset=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-11-498x1024.png 498w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-11-146x300.png 146w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-11.png 623w\" sizes=\"auto, (max-width: 498px) 85vw, 498px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"507\" height=\"1024\" data-id=\"342\" src=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-12-507x1024.png\" alt=\"\" class=\"wp-image-342\" srcset=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-12-507x1024.png 507w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-12-149x300.png 149w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-12.png 634w\" sizes=\"auto, (max-width: 507px) 85vw, 507px\" \/><\/figure>\n<\/figure>\n\n\n\n<p>Additionally, users can get assistance by the \u201cTK-Safe Patientenakte\u201d via the \u201cTK-Extra-Services. Which provides suggestions for possible vaccines and check ups, based on age, sex, and the users medical history.<\/p>\n\n\n\n<p>To use the ePA the regular TK app has to be installed, there is no standalone solution. After registering for the TK application to log-in, the user has to undergo a second registration process for the ePA feature, which is more strict and requires more input than the TK app overall.<br>The \u201cTK-Safe Patientenakte\u201d can also be used for more than one health insured person, multiple ePAs can be managed in one app instance, f.e. for relatives, etc.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Flaws that we want to address<\/h5>\n\n\n\n<p>While the TK app is generally well designed and also has incredibly good ratings (4.8\/5  #rating&gt;300k), we found issues when using the systems accessibility features. The app derives the light\/dark mode and the fontsize from the system. But complex interfaces get really hard to read when setting the fonts very large.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-4 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"473\" height=\"1024\" data-id=\"343\" src=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-2-473x1024.png\" alt=\"\" class=\"wp-image-343\" srcset=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-2-473x1024.png 473w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-2-139x300.png 139w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-2-768x1663.png 768w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-2-710x1536.png 710w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-2.png 946w\" sizes=\"auto, (max-width: 473px) 85vw, 473px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"473\" height=\"1024\" data-id=\"344\" src=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-3-473x1024.png\" alt=\"\" class=\"wp-image-344\" srcset=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-3-473x1024.png 473w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-3-139x300.png 139w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-3-768x1663.png 768w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-3-710x1536.png 710w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-3.png 946w\" sizes=\"auto, (max-width: 473px) 85vw, 473px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"473\" height=\"1024\" data-id=\"345\" src=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-1-473x1024.png\" alt=\"\" class=\"wp-image-345\" srcset=\"https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-1-473x1024.png 473w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-1-139x300.png 139w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-1-768x1663.png 768w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-1-710x1536.png 710w, https:\/\/blogs.fu-berlin.de\/hci2023\/files\/2023\/05\/image-1.png 946w\" sizes=\"auto, (max-width: 473px) 85vw, 473px\" \/><\/figure>\n<\/figure>\n\n\n\n<p>It was not possible to find reliable data on how many people actually increase their fontsize but from our personal experience, many do.<\/p>\n\n\n\n<p>Furthermore the app neither provides a setting for &#8222;simple language&#8220; nor a high contrast mode.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Prepare an interview study with your primary stakeholders.<\/h4>\n\n\n\n<p>Semi strukturiert(offene und geschlossene fragen). Wir brauchen erstmal ein Gef\u00fchl daf\u00fcr, wie und wie viele Menschen Bedienhilfen nutzen und wie die Erfahrungen mit existierenden Apps sind. Auch wollen wir ein grunds\u00e4tzliches Bild davon bekommen, ob und was Menschen von der ePA wissen und ob sie bereits Digitale Gesundheitsanwendungen, wie die TK App, nutzen.<\/p>\n\n\n\n<p>Das interview ist in vier Hauptfragen gegliedert, zu denen jeweils m\u00f6gliche nachfragen notiert sind. Eine Person wird das Interview f\u00fchren und eine Person h\u00f6rt zu und schreibt mit. Wenn es geht, nehmen wir Audio auf.<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><em>Intro <\/em><ol><li>Vielen Dank f\u00fcr ihre Zeit.<\/li><li>Datenschutz Erl\u00e4rung:<ol><li>Wir werden keine personenbezogenen Daten speichern. <\/li><li>sie haben jederzeit die M\u00f6glichkeit, ihre Zustimmung zu widerrufen.<\/li><li>Wir werden ihre antworten aufzeichnen und anonymisiert weiterverarbeiten.<\/li><\/ol><\/li><li>Vorstellung wir sind studis<\/li><li>Wir untersuchen die <strong>Nutzbarkeit der elektronische Patienten Akte<\/strong> (ePA) der Techniker Krankenkasse. Speziell schauen wir auf die Umsetzung von <strong>Design Guidelines f\u00fcr Bedienungshilfen<\/strong> wie extra gro\u00dfe Schrift, Kontrast und einfache Sprache.<\/li><li><em>WarmUp:<\/em> Was wissen sie \u00fcber die ePA?<\/li><\/ol><\/li><li>Nutzen sie digitale Gesundheitsapps?<ol><li>Nutzen sie die App der TK?<\/li><li>Haben sie Zugang zur ePA?<\/li><li>Wollen sie die ePA in Zukunft nutzen?<\/li><\/ol><\/li><li>Welche Bedienungshilfe Funktionen nutzen sie?<ol><li>Wie gro\u00df ist ihre Schrift eingestellt?<\/li><li>Wissen sie, das man sowas einstellen kann?<\/li><li>Hatten sie schon Probleme mit Designs von Apps?<\/li><\/ol><\/li><li><em>Outro: <\/em><ol><li>Vielen Dank f\u00fcr ihre Zeit.<\/li><li>Haben sie noch fragen?<\/li><li>Wenn sie sp\u00e4ter noch R\u00fcckfragen haben, kontaktieren sie uns gerne.<\/li><\/ol><\/li><\/ol>\n\n\n\n<h5 class=\"wp-block-heading\">Reflection<\/h5>\n\n\n\n<p>Diese Woche war unser Zeitmanagement deutlich besser und wir hatten &#8222;schon&#8220; am Montag einen Call um unser Thema zu definieren und ein grobes Interview zu entwickeln. Petrit ist aktuell der einzige mit Zugriff auf die ePA der TK und hat daher die App mit uns ausprobiert, Screenshots gemacht und gleich seinen Arzttermin eingetragen. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Define the goals of your data collection session. Welche Bedienhilfen werden genutzt und wie sind die Erfahrungen damit. Nutzen Menschen mit gro\u00dfer Schriftgr\u00f6\u00dfe h\u00e4ufig schlecht gestaltete Apps? Ist die TK ePA Implementierung in der Lage vom System kommende Einstellungen gut umzusetzen? Gibt es weitere Einstellungen in der TK app? Based on your goal, derive the &hellip; <a href=\"https:\/\/blogs.fu-berlin.de\/hci2023\/2023\/05\/16\/a3-t4-usability-der-epa-in-kombination-mit-bedienungshilfen\/\" class=\"more-link\"><span class=\"screen-reader-text\">\u201e[A#3, T4] Usability der ePA in Kombination mit Bedienungshilfen.\u201c<\/span> weiterlesen<\/a><\/p>\n","protected":false},"author":7698,"featured_media":348,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[481885],"tags":[],"class_list":["post-326","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-team4"],"_links":{"self":[{"href":"https:\/\/blogs.fu-berlin.de\/hci2023\/wp-json\/wp\/v2\/posts\/326","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.fu-berlin.de\/hci2023\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.fu-berlin.de\/hci2023\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.fu-berlin.de\/hci2023\/wp-json\/wp\/v2\/users\/7698"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.fu-berlin.de\/hci2023\/wp-json\/wp\/v2\/comments?post=326"}],"version-history":[{"count":5,"href":"https:\/\/blogs.fu-berlin.de\/hci2023\/wp-json\/wp\/v2\/posts\/326\/revisions"}],"predecessor-version":[{"id":382,"href":"https:\/\/blogs.fu-berlin.de\/hci2023\/wp-json\/wp\/v2\/posts\/326\/revisions\/382"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.fu-berlin.de\/hci2023\/wp-json\/wp\/v2\/media\/348"}],"wp:attachment":[{"href":"https:\/\/blogs.fu-berlin.de\/hci2023\/wp-json\/wp\/v2\/media?parent=326"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.fu-berlin.de\/hci2023\/wp-json\/wp\/v2\/categories?post=326"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.fu-berlin.de\/hci2023\/wp-json\/wp\/v2\/tags?post=326"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}