“…While a large number of studies have recommended preliminary suggestions for enhancing user wayfinding efficiency by improving the legibility and comprehensibility of signage systems [ 15 , 17 , 22 , 25 ] [ [15] , [17] , [22] , [25] , [26] , [27] , [28] , [29] , [30] , [31] ] [ [15] , [17] , [22] , [25] , [26] , [27] , [28] , [29] , [30] , [31] ], there are few specific hospital signage design recommendations for the elderly groups [ 32 ]. In addition, perceptions and preferences for signage systems are culturally diverse [ 15 , [33] , [34] , [35] , [36] , [37] , [38] ], and no research has been found on the perceptions of hospital signage systems by elderly users in China.…”