Visual Complexity, Abstraction, and Human Figuration in Healthcare Wayfinding Symbols: An Eye-Tracking Study

Wayfinding in hospitals is often hindered by ineffective signage; however, the cognitive mechanisms of healthcare wayfinding symbols comprehension remain under-researched. This study utilized eye-tracking and spatial gaze mapping to examine how visual complexity, abstraction, and human figuration modulate perception in 40 healthy adults viewing 24 hospital-related healthcare wayfinding symbols. Results indicate that pupil size is a sensitive physiological marker of cognitive load, significantly influenced by visual complexity ( χ ² = 11.32, p = .022) and abstraction ( χ ² = 7.49, p = .027). Human figuration reduced fixation duration and increased saccade amplitude, facilitating efficient semantic integration. Furthermore, human-centric healthcare wayfinding symbols elicited streamlined gaze trajectories, whereas abstract/complex designs induced chaotic scanpaths. These findings suggest that human figuration acts as a cognitive scaffold, reducing mental effort. We provide evidence-based guidelines for optimizing healthcare wayfinding symbols by prioritizing human body representations and balancing abstraction levels.