E-government implementation and internal user satisfaction in a Peruvian naval tertiary medical centre: a cross-sectional study

Background: Evidence linking e-government (GE) implementation to internal-user satisfaction in healthcare is scarce.Methods: Analytical crosssectional study of 150 employees at a Peruvian naval medical centre.GE was measured across Presence, Interaction, Transaction, and Transformation (Deficient/Adequate/Excellent).Satisfaction was assessed with a validated survey.We estimated Spearman's , /Cramr's V, Cochran-Armitage trend, and prevalence ratios (PR) for Adequate satisfaction.Results: Overall GE was mainly Adequate (70.7%); satisfaction, 62.7%.Presence skewed Deficient (59.3%);Transformation, Excellent (53.3%).GE correlated weakly but positively with satisfaction ( = 0.181; p = 0.027; Cramr's V = 0.264; (4) = 20.84);an ordered trend was evident (Z = 3.87; p = 0.00011).vs. Deficient GE, Adequate satisfaction rose stepwise -Adequate: PR = 1.45 (95% CI 1.11-1.90);Excellent: PR = 1.64 (1.26-2.12).Conclusions: Higher GE aligns with greater satisfaction; prioritising basic Presence while sustaining advanced capabilities may yield the largest gains.