Implementation and Evaluation of Syphilis Telemonitoring in Primary Health Care: An Innovative Approach to Public Health Management
1
Universidade Estadual de Campinas, Campinas, Brasil
Popul. Med. 2026;8(Supplement Supplement 1):A927
ABSTRACT
BACKGROUND:
Syphilis remains a major public health problem in Brazil, despite the availability of effective diagnostic tools and treatment1,2. Persistent weaknesses in longitudinal follow-up, health education activities, and care network coordination contribute to the continued transmission of the infection, particularly within Primary Health Care (PHC)3-6. In this context, the use of digital health strategies, such as telemonitoring and telenursing, has emerged as a potential approach to enhance care management and expand access to health services6-8.
METHODS:
This study is a narrative and exploratory literature review conducted through searches in the PubMed, LILACS, and SciELO databases, with support from the Virtual Health Library and the CAPES Journals Portal. Scientific articles and institutional documents published over the last ten years, in Portuguese and English, addressing the use of telemonitoring and telenursing in the context of Primary Health Care were included.
RESULTS:
The analyzed studies revealed persistent challenges in syphilis control within Primary Health Care, including failures in clinical follow-up, difficulties in treatment adherence, insufficient educational actions, and limitations in active partner notification and follow-up9-12. The incorporation of telemonitoring, particularly intensified during the COVID-19 pandemic, enabled remote patient follow-up, clinical guidance, and health education activities, contributing to improved continuity of care and strengthening the relationship between users and health services13-16. However, challenges related to digital infrastructure, inequalities in access to technology, and the need for professional training were also identified14,17-19.
CONCLUSIONS:
Telemonitoring represents a promising strategy to enhance care management for people with syphilis in Primary Health Care by promoting continuity of care and expanding access to health services. Nevertheless, its effective implementation requires investments in digital infrastructure, professional capacity-building, and the strengthening of public health policies within the Brazilian Unified Health System.
Syphilis remains a major public health problem in Brazil, despite the availability of effective diagnostic tools and treatment1,2. Persistent weaknesses in longitudinal follow-up, health education activities, and care network coordination contribute to the continued transmission of the infection, particularly within Primary Health Care (PHC)3-6. In this context, the use of digital health strategies, such as telemonitoring and telenursing, has emerged as a potential approach to enhance care management and expand access to health services6-8.
METHODS:
This study is a narrative and exploratory literature review conducted through searches in the PubMed, LILACS, and SciELO databases, with support from the Virtual Health Library and the CAPES Journals Portal. Scientific articles and institutional documents published over the last ten years, in Portuguese and English, addressing the use of telemonitoring and telenursing in the context of Primary Health Care were included.
RESULTS:
The analyzed studies revealed persistent challenges in syphilis control within Primary Health Care, including failures in clinical follow-up, difficulties in treatment adherence, insufficient educational actions, and limitations in active partner notification and follow-up9-12. The incorporation of telemonitoring, particularly intensified during the COVID-19 pandemic, enabled remote patient follow-up, clinical guidance, and health education activities, contributing to improved continuity of care and strengthening the relationship between users and health services13-16. However, challenges related to digital infrastructure, inequalities in access to technology, and the need for professional training were also identified14,17-19.
CONCLUSIONS:
Telemonitoring represents a promising strategy to enhance care management for people with syphilis in Primary Health Care by promoting continuity of care and expanding access to health services. Nevertheless, its effective implementation requires investments in digital infrastructure, professional capacity-building, and the strengthening of public health policies within the Brazilian Unified Health System.
| eISSN: | 2654-1459 |
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