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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Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Settings, John A. Gale MS

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Developing Program Performance Measures for Rural Emergency Medical Services, John A. Gale MS; Andrew F. Coburn PhD; Karen B. Pearson MLIS, MA; Zachariah T. Croll MPH; and George Shaler MPH

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Rural Opioid Prevention and Treatment Strategies: The Experience in Four States, John A. Gale MS; Anush Hansen MS,MA; and Martha Elbaum Williamson MPA

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Rural Opioid Prevention and Treatment Strategies: The Experience in Four States [Policy Brief], John A. Gale MS; Anush Hansen MS,MA; and Martha Elbaum Williamson MPA

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Innovations in Rural Health System Development: Federally Qualified Health Center Initiatives, Sara Kahn-Troster MPH, Amanda Burgess MPPM, and Andrew Coburn PhD

Catastrophic Consequences: The Link Between Rural Opioid Use and HIV/AIDS, Jennifer Lenardson MHS and Mary Lindsey Smith PhD, MSW

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Community Paramedicine Pilot Programs: Lessons from Maine, Karen B. Pearson MLIS, MA and George Shaler MPH

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The Role of Public versus Private Health Insurance in Ensuring Health Care Access & Affordability for Low-Income Rural Children, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Amanda Burgess MPPM

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

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Knowledge of Health Insurance Concepts and the Affordable Care Act among Rural Residents, Erika Ziller PhD, Jennifer Lenardson MHS, and Amanda Burgess MPPM

2016

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Innovations in Rural Health System Development: Maine's Behavioral Health Services, Amanda Burgess MPPM and Andrew F. Coburn PhD

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Innovations in Rural Health System Development: Recruiting and Retaining Maine's Health Care Workforce, Amanda Burgess MPPM and Andrew F. Coburn PhD

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Innovations in Rural Health System Development: Service Delivery Advances in Care Coordination, Emergency Care, and Telehealth, Amanda Burgess MPPM and Andrew F. Coburn PhD

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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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Pilot testing a Rural Health Clinic quality measurement reporting system, John A. Gale MS; Anush Yousefian Hansen MS,MA; David Hartley PhD, MHA; and Andrew F. Coburn PhD

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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

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Innovations in Rural Health System Development: Governance, Sara Kahn-Troster MPH and Andrew F. Coburn PhD

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Innovations in Rural Health System Development: Moving Rural Health Systems to Value-based Payment, Sara Kahn-Troster MPH and Andrew F. Coburn PhD

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Understanding the Business Case for Telemental Health in Rural Communities., David Lambert PhD; John A. Gale MS; David Hartley PhD, MHA; Zachariah Croll BA; 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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Adverse Childhood Experiences in Rural and Urban Contexts, Jean Talbot PhD, MPH; Donald Szlosek MHS; and Erica C. Ziller PhD

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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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Adoption and Use of Electronic Health Records by Rural Health Clinics: Results of a National Survey, John A. Gale MS; Zachariah T. Croll BA; and David Hartley PhD, MHA

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Adoption and use of electronic health records by rural health clinics: Results of a national survey, 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; 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, MHA

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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, MHA

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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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Implications of rural residence and single mother status for maternal smoking behaviors, Jean A. Talbot PhD, Donald Szlosek MPH, and Erika C. Ziller 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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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 (EHR) 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

Integrated Care in Rural Areas, David Lambert PhD and John A. Gale MS

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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

Substance Use and Abuse in Rural America, Jennifer D. Lenardson MHS; David Hartley PhD, MHA; John A. Gale MS; and Karen B. Pearson MLIS, MA

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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