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 cross-sectional 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 ρ, χ²/Cramér'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 (ρ = 0.181; p = 0.027; Cramér's V = 0.264; χ²(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.