The Maine Rural Health Research Center focuses on barriers to health access for rural residents and related topics, including insurance coverage, Medicaid, behavioral health, long term services & supports, and challenges faced by rural providers (rural health clinics & critical access hospitals) in delivering and sustaining services. For over 20 years, the Maine Rural Health Research Center’s research agenda has focused on some of the most intractable health access problems facing rural residents, especially those with mental health and substance abuse issues and those facing financial barriers due to lack of insurance and under-insurance. That body of research has helped reveal the effects of policy and health system organization and financing on rural health access. The Center is committed to enhancing policy making and improving the access, delivery and financing of rural health services by effectively linking its research to the policy development process through appropriate dissemination strategies.

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2017

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After Closure: Options for Pursuing a High Performance Rural Health System, Andrew F. Coburn PhD

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Mental Health Status and Access to Health Care Services for Adults in Maine, Erika C. Ziller PhD and Barbara Leonard

2016

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Are Rural Older Adults Benefitting from Increased State Spending on Medicaid Home and Community-Based Services?, Andrew F. Coburn PhD, Eileen Griffin JD, Deborah Thayer MBA, and Zachariah T. Croll BA

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Maine Rural Health Profiles: A Statewide View of Rural Health, Sara Kahn-Troster MPH, Amanda Burgess MPPM, Andrew F. Coburn PhD, Ryan Wallace MRP, Zachariah T. Croll BA, and Rachel Gallo MPH

Understanding the Business Case for Telemental Health in Rural Communities., David Lambert PhD; John A. Gale MS; David Hartley PhD, MHA; Zachariah Croll; and Anush Yousefian Hansen MS, MA

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Rural Opioid Abuse: Prevalence and User Characteristics, Jennifer D. Lenardson MHS, John A. Gale MS, and Erika Ziller PhD

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Health Information Exchange: A Strategy for Improving Access for Rural Veterans in the Maine Flex Rural Veterans Health Access, Karen B. Pearson MLIS, MA; Amanda Burgess MPPM; John A. Gale MS; Andrew F. Coburn PhD; and Anush Yousefian Hansen MS, MA

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Mental Health First Aid in Rural Communities: Appropriateness and Outcomes, Jean Talbot PhD, Donald Szlosek MPH, and Erika C. Ziller PhD

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Access to Health Care Services for Adults in Maine, Erika C. Ziller PhD

Submissions from 2015

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Rural health clinic readiness for patient-centered medical home recognition: Preparing for the evolving healthcare marketplace, John A. Gale MS; Zachariah T. Croll BA; and David Hartley PhD, MHA

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Rural health clinic readiness for patient-centered medical home recognition: Preparing for the evolving healthcare marketplace, John A. Gale MS; Zachariah T. Croll BA; David Hartley PhD, MHA; and Andrew F. Coburn PhD

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Promoting active living in rural communities, Anush Yousefian Hansen MS, MA and David Hartley PhD

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Built environments and active living in rural and remote areas: A review of the literature, Anush Yousefian Hansen MS, MA; M. Renée Umstattd Meyer; Jennifer D. Lenardson MHS; and David Hartley PhD

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Rural and remote food environments and obesity, Jennifer D. Lenardson MHS; Anush Yousefian Hansen MS, MA; and David Hartley PhD, MHA

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Rural Implications of Medicaid Expansion Under the Affordable Care Act, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD

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Rural Implications of Medicaid Expansion under the Affordable Care Act, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD

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Out-of-Pocket Spending among Rural Medicare Beneficiaries., Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD

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Rural Adults Delay, Forego, and Strategize to Afford Their Pre-ACA Health Care, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD

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Rural Disabled Medicare Beneficiaries Spend More out-of-Pocket Than Their Urban Counterparts., Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD

2014

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Advancing the Transition to a High Performance Rural Health System, Charles Alfero MA; Andrew F. Coburn PhD; Jennifer P. Lundblad PhD, MBA; A. Clinton MacKinney MD, MS; Timothy McBride PhD; and Keith J. Mueller PhD

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Turning around the struggling rural hospital: Shared responsibility and hard work, John A. Gale MS

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Collaborative Community Health Needs Assessments: Approaches and Benefits for Critical Access Hospitals, John A. Gale MS, Andrew F. Coburn PhD, and Helen E. Newton BA

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Meaningful use of electronic health record by rural health clinics, John A. Gale MS; David Hartley PhD, MHA; and Zachariah T. Croll BA

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Meaningful use of electronic health record by rural health clinics, John A. Gale MS; David Hartley PhD, MHA; and Zachariah T. Croll BA

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Integrated care for older adults in rural communities, Eileen Griffin JD and Andrew F. Coburn PhD

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Integrated care management in rural communities, Eileen Griffin JD and Andrew F. Coburn PhD

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Children's health policy: Promising starts, disappointing outcomes, Elizabeth Kilbreth PhD and Erika C. Ziller PhD

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Profile of rural residential care facilities: A chartbook, Jennifer D. Lenardson MHS, Eileen Griffin JD, Erika C. Ziller PhD, and Andrew F. Coburn PhD

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Substance use and abuse in rural America, Jennifer D. Lenardson MHS; David Hartley PhD, MHA; John A. Gale MS; and Karen B. Pearson MLIS

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High deductible health insurance plans in rural areas, Jennifer D. Lenardson MHS, Erika C. Ziller PhD, and Andrew F. Coburn PhD

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Rural residents more likely to be enrolled in high-deductible health plans, Jennifer D. Lenardson MHS, Erika C. Ziller PhD, and Andrew F. Coburn PhD

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Community Paramedicine in rural areas: State and local findings and the role of the state Flex program, Karen B. Pearson MLIS, MA; John A. Gale MS; and George Shaler MPH

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The evidence for Community Paramedicine in rural areas: State and local findings and the role of the state Flex program, Karen B. Pearson MLIS, MA; John A. Gale MS; and George Shaler MPH

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Implications of rurality and psychiatric status for diabetic care use among adults with diabetes, Jean A. Talbot PhD; Erika C. Ziller PhD; Jennifer D. Lenardson MHS; and David Hartley PhD, MHA

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Health insurance coverage of low-income rural children increases and is more continuous following CHIP implementation, Erika C. Ziller PhD

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Access to medical care in rural America, Erika C. Ziller PhD

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Rural implications of ACA Medicaid expansions, Erika C. Ziller PhD

2013

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Children served by MaineCare, 2012: Survey findings, Nathaniel J. Anderson MS, MPH; Kimberley Fox; Deborah Thayer MBA; and Zachariah T. Croll BA

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Rural vets: Their barriers, problems, needs, John A. Gale MS and Hilda R. Heady

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Rural Children Experience Different Rates of Mental Health Diagnosis and Treatment, David Hartley PhD, MPH; Jennifer D. Lenardson MHS; Nathaniel J. Anderson MS, MPH; and Samantha J. Neuwirth MD

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Engaging and empowering rural communities to build healthy environments: Field testing the rural active living assessment tools, David Hartley PhD and Anush Yousefian Hansen MS, MA

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Telemental health in today's rural health system, David Lambert PhD; John A. Gale MS; Anush Yousefian Hansen MS, MA; Zach Croll; and David Hartley PhD, MHA

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Rural acute myocardial infarction survey (RAMIS), Nikiah Nudell BA, NRP; Don Rice MD; John A. Gale MS; Gary Wingrove EMT-P; and Tom Bouthillet NREMT-P

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Emergency transfers of the elderly from nursing facilities to critical access hospitals: Opportunities for improving patient safety and quality, Karen B. Pearson MLIS, MA and Andrew F. Coburn PhD

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Challenges and opportunities for improving mental health services in rural long-term care, Jean A. Talbot PhD and Andrew F. Coburn PhD

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Mental health services in rural long-term care: Challenges and opportunities for improvement, Jean A. Talbot PhD and Andrew F. Coburn PhD

Rural considerations in establishing network adequacy standards for qualified health plans in state and regional health insurance exchanges., Jean A. Talbot PhD, Andrew F. Coburn PhD, Zachariah T. Croll BA, and Erika C. Ziller PhD

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Rural considerations in establishing network adequacy standards for qualified health plans in state health insurance exchanges, Jean A. Talbot PhD, Andrew F. Coburn PhD, Erika C. Ziller PhD, and Zachariah T. Croll BA

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Survey of children served by MaineCare, Jean A. Talbot PhD, Deborah Thayer MBA, Zachariah T. Croll BA, and Kimberley Fox

2012

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Promoting a Culture of Safety: Use of the Hospital Survey On Patient Safety Culture in Critical Access Hospitals, Andrew F. Coburn PhD; Zachariah T. Croll BA; and Karen B. Pearson MLIS, MA