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Health Information Systems (SIS) are technological artifacts allowing public managers in three government \udspheres to obtain essential information for the management and planning of the Brazilian Unified Health System \ud(SUS - the public health system). Institutional Theory was chosen as the theoretical framework to analyze the \udincorporation of SIS in Brazilian public health, since there may be a direct influence from the organizational \udenvironment. This perspective makes it possible to find explanations for environmental factor influence, be they \udcoercive, normative or mimetic, when deciding on the use of technology in government. The aim of this paper is \udto investigate the influence these institutional factors have on SIS use by State Health Departments (SES). In order \udto achieve our objective, we chose a qualitative approach, with multiple SES case studies in the states of Paraná \udand Rio Grande do Sul. The Mortality Information System (SIM) and the Decentralized Hospital Information \udSystem (SIHD) were considered the units of analysis for this study. Based on the proposed conceptual model, \udinstitutional factors that influence the use of these SIS, in the form of coercive, mimetic and normative pressures, \udare presented and analyzed.\u

Perspectiva Institucional dos Sistemas de Informação em Saúde em Dois Estados Brasileiros