A low-cost usability engineering methodology (heuristic evaluation combined
with small-scale expert assessment) is examined in the context of the desi
gn and development of a Web-based telemedicine system. Six experts-three hu
man-computer interaction (HCI) experts and three medical-content experts-ex
amined the Spacebridge to Russia Web site for usability. The HCI experts id
entified 52 interface problems using a set of ten usability criteria or heu
ristics; these problems ranged in severity from cosmetic to a major failure
. The content experts completed a series of six simple tasks while describi
ng their actions. The usage difficulties were related to the HCI problems i
dentified and were primarily characterized by a mismatch of the designer mo
del and the content expert model. This heuristic/usage methodology can prov
ide an incremental benefit in a variety of other design activities. It is s
uggested herein that the combined heuristic/usage methodology should be inc
luded as a standard design component of dynamic telemedicine systems.