Raphael Wittenberg
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View article: The relationships between informal and formal social care for older people in England: A comparison before and after the Care Act 2014
The relationships between informal and formal social care for older people in England: A comparison before and after the Care Act 2014 Open
View article: Systematic review of health economic models for assessment and diagnosis of dementia
Systematic review of health economic models for assessment and diagnosis of dementia Open
INTRODUCTION Timely diagnosis of dementia is a public health priority to enable risk modification and treatment access. This study systematically identifies and critically appraises health economic models of dementia assessment and diagnos…
View article: The cost-effectiveness of specialist hospital discharge and intermediate care services for patients who are homeless
The cost-effectiveness of specialist hospital discharge and intermediate care services for patients who are homeless Open
View article: Reforming the funding of long-term care for older people: costs and distributional impacts of planned changes in England
Reforming the funding of long-term care for older people: costs and distributional impacts of planned changes in England Open
Reforms to the means tests in England for state-financed long-term care were planned for implementation in 2025. They included a lifetime limit (cap) on how much an individual must contribute to their care, with the state meeting subsequen…
View article: An international comparison of longitudinal health data collected on long COVID in nine high income countries: a qualitative data analysis
An international comparison of longitudinal health data collected on long COVID in nine high income countries: a qualitative data analysis Open
Background Long coronavirus disease (COVID) presents a significant health challenge. Long-term monitoring is critical to support understanding of the condition, service planning and evaluation. We sought to identify and examine longitudina…
View article: Differences in the risk of frailty based on care receipt, unmet care needs and socio-economic inequalities: A longitudinal analysis of the English Longitudinal Study of Ageing
Differences in the risk of frailty based on care receipt, unmet care needs and socio-economic inequalities: A longitudinal analysis of the English Longitudinal Study of Ageing Open
View article: Integrating homelessness support – developing a relational understanding
Integrating homelessness support – developing a relational understanding Open
Purpose People experiencing homelessness often have multiple health and other support needs, requiring complex, coordinated support. Admission to hospital is potentially an opportunity to address these needs and begin integrating care, but…
View article: Benefits of population‐level interventions for dementia risk factors: an economic modelling study
Benefits of population‐level interventions for dementia risk factors: an economic modelling study Open
Background Some individual‐level interventions for dementia risk factors could be cost saving. We aimed to estimate the cost effectiveness of population‐level interventions for tackling dementia risk factors. We found such interventions fo…
View article: The Association between COVID-19 Status and Economic Costs in the Early Stages of the COVID-19 Pandemic: Evidence from a UK Symptom Surveillance Digital Survey
The Association between COVID-19 Status and Economic Costs in the Early Stages of the COVID-19 Pandemic: Evidence from a UK Symptom Surveillance Digital Survey Open
View article: How to establish and sustain a disease registry: insights from a qualitative study of six disease registries in the UK
How to establish and sustain a disease registry: insights from a qualitative study of six disease registries in the UK Open
View article: The association between frailty, care receipt and unmet need for care with the risk of hospital admissions
The association between frailty, care receipt and unmet need for care with the risk of hospital admissions Open
Background Frailty is characterised by a decline in physical, cognitive, energy, and health reserves and is linked to greater functional dependency and higher social care utilisation. However, the relationship between receiving care, or re…
View article: Costs and cost-effectiveness of the Kerala pilot screening programme for diabetic retinopathy in the public health system
Costs and cost-effectiveness of the Kerala pilot screening programme for diabetic retinopathy in the public health system Open
Background/objectives The Government of Kerala initiated a pilot screening programme for diabetic retinopathy in 16 Family Health Centres in Thiruvananthapuram district in 2019 in collaboration with the ORNATE India project. The evaluation…
View article: Benefits of population-level interventions for dementia risk factors: an economic modelling study for England
Benefits of population-level interventions for dementia risk factors: an economic modelling study for England Open
UK National Institute for Health and Care Research Three Schools dementia research programme.
View article: How to establish and sustain a disease register: Insights from a qualitative study of six registers in the UK
How to establish and sustain a disease register: Insights from a qualitative study of six registers in the UK Open
Background: The advent of new chronic conditions such as long COVID-19 raises the question of whether and, if so, how best to establish new disease registers for such conditions. Prompted by the potential need for a long COVID-19 register,…
View article: Unpaid carers of people with dementia and information communication technology: Use, impact and ideas for the future
Unpaid carers of people with dementia and information communication technology: Use, impact and ideas for the future Open
Objectives Several 100,000s of people living with dementia in the UK are cared for at home by a spouse or relative. Few studies have considered the ICT needs and experiences of unpaid carers. This study explores the types of ICT unpaid car…
View article: “I never planned for it”—Exploration of expectations about caring for older parents
“I never planned for it”—Exploration of expectations about caring for older parents Open
The projected increase in older dependent adults will continue straining formal care services whilst increasing the reliance on unpaid carers, in England and internationally. While motivations and willingness to care among unpaid carers ha…
View article: Scaling‐up an evidence‐based intervention for family carers of people with dementia: Current and future costs and outcomes
Scaling‐up an evidence‐based intervention for family carers of people with dementia: Current and future costs and outcomes Open
Objectives The STrAtegies for RelaTives (START) intervention is effective and cost‐effective in supporting family carers of people with dementia. It is currently not available to all eligible carers in England. What would be the impacts on…
View article: Preferences of People 50 Years and Older when Thinking of their Future Care Needs
Preferences of People 50 Years and Older when Thinking of their Future Care Needs Open
Context: The growth in the older population and its diversity will impact the overall demand for social care and potentially affect patterns of preferences. Different initiatives have been implemented in England to improve care provision t…
View article: Long-term impact of the COVID-19 pandemic on the quality of life of people with dementia and their family carers
Long-term impact of the COVID-19 pandemic on the quality of life of people with dementia and their family carers Open
Introduction Few studies have longitudinally mapped quality of life (QoL) trajectories of newly diagnosed people with dementia and their carers, particularly during coronavirus disease-2019 (COVID-19). Methods In a UK cohort study, 261 new…
View article: Projected costs of informal care for older people in England
Projected costs of informal care for older people in England Open
Background Health economics research and economic evaluation have increasingly taken a societal perspective, accounting for the economic impacts of informal care. Projected economic costs of informal care help researchers and policymakers …
View article: Costs and cost-effectiveness of the Kerala Pilot Screening Programme for Diabetic Retinopathy in the public health system
Costs and cost-effectiveness of the Kerala Pilot Screening Programme for Diabetic Retinopathy in the public health system Open
Background/Objectives The Government of Kerala initiated a pilot screening programme for diabetic retinopathy in 16 Family Health Centres in Thiruvananthapuram district in 2019 in collaboration with the ORNATE India project. The evaluation…
View article: The cost-effectiveness of specialist hospital discharge and intermediate care services for patients who are homeless
The cost-effectiveness of specialist hospital discharge and intermediate care services for patients who are homeless Open
Objective To evaluate the cost-effectiveness of specialist hospital discharge and intermediate care (support after discharge) services for people who are homeless in England. Methods We estimated the comparative cost and consequences of di…
View article: The relationships between informal and formal social care for older people in England: A comparison before and after the Care Act 2014
The relationships between informal and formal social care for older people in England: A comparison before and after the Care Act 2014 Open
Social care is an integral part of the UK welfare system and plays an imperative role in promoting the well-being of older people. This study investigates the impacts of receiving informal social care on formal social care use among commun…
View article: Estimating the costs of blindness and moderate to severe visual impairment among people with diabetes in India
Estimating the costs of blindness and moderate to severe visual impairment among people with diabetes in India Open
Objectives This study provides an estimate of the annual cost of blindness and moderate to severe visual impairment (MSVI) among people with diabetes aged 40 years and above in India in the year 2019. Design A cost of illness study. Settin…
View article: Editorial: Long-term care for older people: A global perspective
Editorial: Long-term care for older people: A global perspective Open
EDITORIAL article Front. Public Health, 11 April 2023Sec. Aging and Public Health Volume 11 - 2023 | https://doi.org/10.3389/fpubh.2023.1178397
View article: Household wealth, neighbourhood deprivation and frailty amongst middle-aged and older adults in England: a longitudinal analysis over 15 years (2002–2017)
Household wealth, neighbourhood deprivation and frailty amongst middle-aged and older adults in England: a longitudinal analysis over 15 years (2002–2017) Open
Background frailty is a condition of reduced function and health due to ageing processes and is associated with a higher risk of falls, hospitalisation, disability and mortality. Objective to determine the relationship between household we…
View article: The economic case for hospital discharge services for people experiencing homelessness in England: An in‐depth analysis with different service configurations providing specialist care
The economic case for hospital discharge services for people experiencing homelessness in England: An in‐depth analysis with different service configurations providing specialist care Open
There are long-standing concerns that people experiencing homelessness may not recover well if left unsupported after a hospital stay. This study reports on a study investigating the cost-effectiveness of three different 'in patient care c…
View article: The sociocultural framing of public attitudes to sharing the costs of social care for older people in England
The sociocultural framing of public attitudes to sharing the costs of social care for older people in England Open
Twelve synchronous online focus groups were conducted, each involving four to six members of the general public who had expressed in-principle support for sharing the costs of social care for older people between service users and governme…
View article: Socioeconomic inequality of long-term care for older people with and without dementia in England
Socioeconomic inequality of long-term care for older people with and without dementia in England Open
Ensuring distributive fairness in the long-term care sector is vitally important in the context of global population ageing and rising care needs. This study, part of the DETERMIND (DETERMinants of quality of life, care and costs, and cons…
View article: Projections of dependency and associated social care expenditure for the older population in England to 2038: effect of varying disability progression
Projections of dependency and associated social care expenditure for the older population in England to 2038: effect of varying disability progression Open
Objectives to assess the effect of recent stalling of life expectancy and various scenarios for disability progression on projections of social care expenditure between 2018 and 2038, and the likelihood of reaching the Ageing Society Grand…