WCAG for Healthcare Apps: Designing Accessible Digital Health

Martin Sandhu
Martin Sandhu

August 2025

Why is accessibility non-negotiable for healthcare apps?

In healthcare, inaccessible design isn’t just an inconvenience—it can be discriminatory. Patients with visual, auditory, cognitive, or motor impairments still need to book appointments, view lab results, manage medications, and communicate with clinicians.

Accessibility has also moved from “nice-to-have” to procurement requirement. Large health systems and public-sector buyers increasingly expect vendors to demonstrate alignment with standards like WCAG (Web Content Accessibility Guidelines).

For digital health teams, designing for accessibility expands your addressable user base, strengthens your brand, and avoids nasty surprises in enterprise security and compliance reviews.

What is WCAG, in plain language?

WCAG is a set of guidelines that describe how to make digital content more accessible. They’re organized under four principles: content should be Perceivable, Operable, Understandable, and Robust.

For healthcare apps, that translates to things like:

  • Text being readable and resizable
  • Interfaces working with screen readers
  • Clear focus states for keyboard navigation
  • Sufficient color contrast
  • Avoidance of content that might trigger seizures
  • Predictable, consistent interactions

You don’t have to implement everything perfectly on day one, but you should have a plan and be moving intentionally toward compliance.

What are some practical WCAG practices for health UX teams?

Start with changes that deliver high impact:

1. Color and contrast

  • Ensure text and important UI elements meet contrast ratios for readability.
  • Don’t rely on color alone to convey meaning (e.g., red vs green for status).

This is especially important in healthcare, where misreading a status or value could have serious consequences.

2. Typography and layout

  • Allow users to increase text size without breaking layouts.
  • Use clear hierarchy and spacing to separate sections.
  • Avoid dense walls of text—particularly in instructions or consent flows.

3. Screen reader support

  • Provide meaningful labels for inputs, icons, and buttons.
  • Ensure content order matches a logical reading order.
  • Use ARIA attributes thoughtfully, not excessively.

This matters both for patient-facing apps and clinician tools—blind or low-vision clinicians exist too.

4. Keyboard and alternative input navigation

  • Ensure all interactive elements can be reached and activated via keyboard.
  • Make focus states obvious and visible.
  • Avoid traps: users should always be able to move forward and back.

5. Forms and error handling

  • Provide clear, specific error messages (not just “Something went wrong”).
  • Don’t rely solely on red highlights; use icons or text as well.
  • Preserve user input when errors occur to avoid re-entry frustration.

Given how many healthcare interactions involve forms (intake, symptom checkers, questionnaires), this is a big one.

How does accessibility intersect with privacy and compliance?

In healthcare, you have to balance accessible design with privacy obligations:

  • Screen readers must read content—but not necessarily everything if it risks exposing data to unintended viewers.
  • Kiosk or shared-device flows need extra care to avoid leaving sensitive information visible.
  • Some accessibility features (like larger text or extended notifications) may need user control so they don’t inadvertently reveal PHI.

Accessibility work should involve security and compliance colleagues, not operate in isolation.

How can teams start improving accessibility without boiling the ocean?

  • Audit a core flow first – for example, login + viewing test results + messaging a clinician.
  • Fix obvious contrast and labeling issues – low-effort, high-impact work.
  • Introduce accessibility checks into your design and QA process – use checklists, linting, and tooling where possible.
  • Include users with disabilities in research – they’ll reveal issues you’d never spot otherwise.

Accessibility is not a one-time project; it’s a mindset and practice. For healthtech teams that adopt it early, it becomes a quiet but powerful differentiator.

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