Health-care Information System use under techno-uncertainty: Evidence from long-term health-care


  • Marion LAUWERS Institut Catholique de Lille
  • Antonio GIANGRECO IESEG School of Management
  • Johan MAES IESEG School of Management
  • Andrea CARUGATI Aarhus BSS, Aarhus University
  • Antonio SEBASTIANO LIUC Business School


Techno-uncertainty, IS exploratory use, IS exploitative use, healthcare.


In a context where work practices and IS get constantly misaligned, research on the psychological aspects of IT use is becoming increasingly relevant. This paper examines the impacts of techno-uncertainty, one of the main factors in technostress, on health information system  use. More specifically, we propose and test a serial mediation model of the impact of techno-uncertainty on HIS exploratory use. Our model suggests that such impact unfolds via HIS perceived usefulness and HIS exploitative use. Tests of mediation from 301 caregivers provides support for our model. In an effort to help healthcare institutions to improve the use of HIS, our findings help to open the black box of the mechanisms through which techno-uncertainty impacts HIS exploratory use including the role of experience in systems characteristics’ appraisal. In doing so, this study contributes to recent findings on technostress which highlight the possible positive effects of technostress, and calls for studying the role of specific techno-stressors in specific contexts.


Author Biographies

Marion LAUWERS, Institut Catholique de Lille

Marion Lauwers (Ph.D.) is Assistant Professor of Management of Information Systems at FGES, Catholic University of Lille, France. Her research focuses on Information Systems Appropriation, on technostress and on entrepreneurs work life balance. She has published in the European Journal of Information Systems.

Antonio GIANGRECO, IESEG School of Management

Antonio Giangreco (Ph.D.) is Full Professor in Human Resource Management and Change Management and Associate Dean for International Relations at IESEG School of Management (LEM-CNRS UMR 9221), Catholic University of Lille, France. His main research interests are in the area of IT-driven change, wellbeing, compensation and performance assessment. He has published contributions in leading international journals such as European Journal of Information Systems, Human Resources Management, The International Journal of HRM, European Journal of Operational Research, Personnel Review, and European Management Journal.

Johan MAES, IESEG School of Management

Johan Maes (Ph.D.) is Professor of HRM and Organization at IESEG School of Management (LEM CNRS 9221) and Visiting Professor at KU Leuven – Faculty of Economics and Business (Belgium). His academic research focuses on the performance and survival of start-ups, on corporate entrepreneurship and the role of HRM herein, entrepreneurial intention and absorptive capacity. Previous research has been published in (a.o.) Journal of Management Studies, Journal of Small Business Management, International Small Business Journal and Small Business Economics.

Andrea CARUGATI, Aarhus BSS, Aarhus University

Andrea Carugati (Ph.D.) is Professor of Information Systems at Aarhus School of Business and Social Sciences (Aarhus University) and at IESEG School of Management (LEM CNRS 9221). His research focuses on the strategic impact of technology, on IT driven organizational change, and on the deployment of information technology in organizations. Andrea Carugati has published in (a.o.) Management Information Systems Quarterly, the European Journal of Information Systems, Information Systems Journal, Database for Advances in Information Systems, European Management Review, and European Management Journal.

Antonio SEBASTIANO, LIUC Business School

Antonio Sebastiano, Ph.D. is a (TDa) Researcher in Business Organization at LIUC - Università Cattaneo, where he teaches Organization and Information Systems (School of Economics) and Functioning Models of Companies in Healthcare (School of Management Engineering). He is also the Director of the Nursing Homes Sectorial Observatory. He has published articles in international journals such as the European Management Journal, Personnel Review, Evaluation and Program Planning, The International Journal of Human Resources Management and Health Services Management Research.


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Empirical research