Understanding Usability and Human-Centered Design Principles

  • Christopher HassEmail author
  • Margo Edmunds


This chapter lays out the fundamental principles of usability, user experience (UX), and human-centered design (HCD), with an emphasis on understanding the phases of product and service development. Illustrated by real-world case examples, the chapter outlines basic industry concepts and terminology, describes common human-centered design practices, and provides information about educational resources and training organizations. Discussions include the benefits of human-centered design, current and emerging human-centered design trends, and the tactical, practical value of these techniques for improving product and service design outcomes for healthcare consumers, patients, and providers.


Usability User experience (UX) Human-centered design (HCD) Human-computer interaction (HCI) Human factors Discovery research Product design User testing Design phases Human-centered design trends 

Further Reading

  1. Constantine, L., & Lockwood, L. (1999). Software for use: A practical guide to the models and methods of usage-centered design. Reading, MA: Addison-Wesley.Google Scholar
  2. Cooper, A. (2004). Why High-tech Products Drive Us Crazy and how to Restore the Sanity. Indianapolis, IN: Sams Publishing.Google Scholar
  3. Hartson, R., & Pardha, P. (2012). The UX book: Process and guidelines for ensuring a quality user experience. Burlington, MA: Elsevier.Google Scholar
  4. Interactive Mind. (n.d.). The only UX reading list ever. Online article:
  5. Krug, S. (2014). Don’t make me think revisited: A common sense approach to web usability (2nd ed.). San Francisco, CA: Pearson Education.Google Scholar
  6. Martin, B., Hanington, B., & Hanington, B. M. (2012). Universal methods of design: 100 ways to research complex problems, develop innovative ideas, and design effective sol utions. Beverly, MA: Rockport Publishers.Google Scholar
  7. National Institute for Standards and Technology (NIST), Department of Commerce. (2017). Health IT usability.
  8. Neilsen, J. (1994). Usability engineering. San Francisco, CA: Morgan Kaufmann.Google Scholar
  9. Norman, D. (2013). The design of everyday things: Revised and expanded edition. New York, NY: Basic Books.Google Scholar
  10. Righii, C., & James, J. (2010). User-centered design stories: Real-world UCD case studies. Amsterdam: Elsevier.Google Scholar
  11. Stickdom, M., & Schneider, J. (2012). This is service design thinking: Basics, tools, cases. Amsterdam: BIS.Google Scholar
  12. Wickens, C., Gordon, S., Lee, J., & Yili, L. (2014). An introduction to human factors engineering. Harlow: Pearson.Google Scholar
  13. Young, I. (2015). Practical empathy: For collaboration and creativity in your work. Brooklyn, NY: Rosenfeld Media.Google Scholar


  1. Albert, W., & Tullis, T. (2013). Measuring the user experience: Collecting, analyzing, and presenting usability metrics (2nd ed.). San Francisco, CA: Morgan Kauffman.Google Scholar
  2. Association for Computing Machinery’s Special Interest Group for Computer-Human Interaction (ACM SIGCHI).
  3. Berger, A. A. (2016). Media and communication research methods: An introduction to qualitative and quantitative approaches (4th ed.). Thousand Oaks, CA: SAGE.Google Scholar
  4. Blumenthal, D., & Tavenner, M. (2010). The “Meaningful Use” regulation for electronic health records. New England Journal of Medicine, 363, 501–504.CrossRefGoogle Scholar
  5. Edmunds M., Peddicord D., & Frisse, M. E. (2017). The evolution of Health IT policy in the United States. In C. A.Weaver, M. M. Ball, G. R. Kim, & J. M. Kiel (Eds.). Healthcare information management systems.Google Scholar
  6. Goodman, E. (2012). Observing the user experience: A practitioner’s guide to user research (2nd ed.). San Francisco, CA: Morgan Kauffman.Google Scholar
  7. Henry, J., Pylypchuk, Y., & Pavel, V. (2017). Electronic capabilities for patient engagement among U.S. non-federal acute care hospitals: 2012–2015 (ONC data brief 38). Washington, DC.
  8. Howe, J. L., Adams, K. T., Hettinger, A. Z., et al. (2018). Electronic health record usability issues and potential contribution to patient harm. JAMA, 319(12), 1276–1278. CrossRefPubMedPubMedCentralGoogle Scholar
  9. Meier, A. (2014). Usability testing for healthcare portals: Even small problems add up. User Experience Magazine, 14(3).
  10. Middleton, B., Bloomrosen, M., Dente, M., Hashmat, B., Koppel, R., Overhage, J. M., … Zhang, J. (2013). Enhancing patient safety and quality of care by improving the usability of electronic health record systems: Recommendations from AMIA. Journal of the American Medical Informatics Association, 30(e1), e2–e8 CrossRefGoogle Scholar
  11. Mitchell, P. (2007). A step-by-step guide to usability testing. New York, NY: IUniverse.Google Scholar
  12. Office of the National Coordinator for Health IT. (2018). ONC change package for improving EHR usability.
  13. Rubin, J., & Chisnell, D. (2008). Handbook of usability testing: How to plan, design, and conduct effective tests (2nd ed.). Hoboken, NJ: Wiley.Google Scholar
  14. Slabodkin, G. (2018, March 7). EHRs get most blame for epidemic of physician burnout. Health Data Management.
  15. Trotter, F., & Uhlman, D. (2013). Hacking healthcare: A guide to standards, workflows, and meaningful use. Sebastopol, CA: O’Reilly Media.Google Scholar
  16. UK Design Council. (n.d.). The design process: What is the double diamond? Retrieved December 1, 2017, from
  17. User Experience Professionals Association (UXPA).
  18. Washington, V., DeSalvo, K., Mostashari, F., & Blumenthal, D. (2017). Perspective: The HITECH era and the path forward. The New England Journal of Medicine, 377, 904–906 CrossRefGoogle Scholar
  19. Witteman, H. O., Dansokho, S. C., Colquhoun, H., Coulter, A., Dugas, M., Fagerlin, A., … Witteman, W. (2015). User-centered design and the development of patient decision aids: Protocol for a systematic review. Systematic Reviews, 4, –11.
  20. (2018). User-centered design basics.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.BostonUSA
  2. 2.AcademyHealthWashington, DCUSA

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