Article: E-government implementation and internal user satisfaction in a Peruvian naval tertiary medical centre: a cross-sectional study Journal: International Journal of Electronic Governance (IJEG) 2026 Vol.18 No.5 pp.1 - 12 Abstract: 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. Inderscience Publishers - linking academia, business and industry through research

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

Authors: Edgar Pfuño-Ramos; Jorge A. Vargas-Merino; Miguel A. Arce-Huamani

Addresses: Escuela de Posgrado, Universidad Privada Norbert Wiener, Lima 15046, Peru ' Escuela de Posgrado, Universidad Privada Norbert Wiener, Lima 15046, Peru ' Facultad de Ciencias de la Salud, Programa académico de Medicina Humana, Universidad Privada Norbert Wiener, Lima 15046, Peru

Abstract: 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.

Keywords: e-government; internal-user satisfaction; public sector; health services; SDG 16: peace; justice and strong institutions.

DOI: 10.1504/IJEG.2026.152418

International Journal of Electronic Governance, 2026 Vol.18 No.5, pp.1 - 12

Received: 16 Oct 2025
Accepted: 28 Jan 2026
Published online: 18 Mar 2026 *

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

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