Between Professionalism and Pragmatism: Physicians’ Information Technology Use in Healthcare Practice

Creators: Finze, Nikola and Vaast, Emmanuelle and Gewald, Heiko
Title: Between Professionalism and Pragmatism: Physicians’ Information Technology Use in Healthcare Practice
Item Type: Conference or Workshop Item
Event Title: (Proceedings of the) 46th International Conference on Information Systems (ICIS)
Event Location: Nashville, TN, USA
Event Dates: December, 14-17, 2025
Projects: IDI
Type of Paper / Paper No.: Completed Research Paper
Date: December 2025
Divisions: Informationsmanagement
Abstract (ENG): Health information technologies (HIT) are transforming the medical profession by shifting how physicians perform their roles and interact with patients. Drawing on interviews with physicians across specialties and career stages, this study investigates how professional role conceptions influence HIT use in clinical practice. We find that physicians are moving from authoritative decision-makers to collaborative advisors, navigating rising patient expectations and increasingly transparent knowledge environments. In response, physicians adopt varied HIT usage strategies to manage perceived professionalism and authority. We introduce the concept of differential HIT usage to describe how physicians selectively adapt HIT use based on context and technology. Furthermore, we identify how visible technology use can either support or undermine the performance of medical competence. The study contributes to literature on HIT adoption and professional role change by highlighting how digital tools are integrated in ways that align with role expectations and symbolic expressions of expertise.
Forthcoming: No
Language: English
Uncontrolled Keywords: Health information technology, Professional role, Use behavior, IT adoption
Citation:

Finze, Nikola and Vaast, Emmanuelle and Gewald, Heiko (2025) Between Professionalism and Pragmatism: Physicians’ Information Technology Use in Healthcare Practice. In: (Proceedings of the) 46th International Conference on Information Systems (ICIS), December, 14-17, 2025, Nashville, TN, USA, Paper Completed Research Paper.

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