All Maine Rural Health Research Center Publications

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2017

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Mental Health Status and Access to Health Care Services for Adults in Maine, Erika Ziller 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, Eileen Griffin, Deborah Thayer, and Zachariah T. Croll

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Maine Rural Health Profiles: A Statewide View of Rural Health, Sara Kahn-Troster, Amanda Burgess MPPM, and Andrew F. Coburn

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

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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, Amanda Burgess MPPM, John A. Gale, Andrew F. Coburn, and Anush Y. Hansen

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

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

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, Zach Croll, and David Hartley

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Rural health clinic readiness for patient-centered medical home recognition: Preparing for the evolving healthcare marketplace, John A. Gale, Zach Croll, David Hartley, and Andrew F. Coburn

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Promoting active living in rural communities, Anush Yousefian Hansen

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

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Rural and remote food environments and obesity, Jennifer D. Lenardson, Anush Y. Hansen, and David Hartley

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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

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Rural implications of Medicaid expansion under the Affordable Care Act, Erika Ziller, Jennifer Lenardson, and Andrew Coburn

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Rural Implications of Medicaid Expansion under the Affordable Care Act., Erika Ziller, Jennifer Lenardson, and Andrew Coburn

2014

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

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

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

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Meaningful use of electronic health record by rural health clinics, John A. Gale, David Hartley, and Zach Croll

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Meaningful use of electronic health record by rural health clinics, John A. Gale, David Hartley, and Zach Croll

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

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

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

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

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

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Substance use and abuse in rural America, Jennifer D. Lenardson, David Hartley, John Gale, and Karen B. Pearson

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

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

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

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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 Pearson, John Gale, and George Shaler

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

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

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

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

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Rural implications of ACA Medicaid expansions, Erika C. Ziller

2013

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Children served by MaineCare, 2012: Survey findings, Nathaniel Anderson, Kimberley Fox, Deborah Thayer, and Zachariah Croll

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

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Rural Children Experience Different Rates of Mental Health Diagnosis and Treatment, David Hartley, Jennifer Lenardson, Nathaniel J. Anderson, and Samantha J. Neuwirth

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Engaging and empowering rural communities to build healthy environments: Field testing the rural active living assessment tools, David Hartley and Anush H. Yousefian

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Telemental health in today's rural health system, David Lambert, John Gale, Anush Y. Hansen, Zach Croll, and David Hartley

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Rural acute myocardial infarction survey, Nikiah Nudell, Don Rice, John A. Gale, Tom Wingrove, and Bouthillet

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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 and Andrew F. Coburn

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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 and Andrew F. Coburn

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

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

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

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

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

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Survey of children served by MaineCare, Jean Talbot, Deborah Thayer, Zachariah Croll, 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, Zach Croll, and Karen Pearson

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Rural implications of geographic rating of health insurance premiums, Andrew Coburn, Erika Ziller, Zachariah Croll, and Elizabeth Kilbreth

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Promoting a culture of safety: Use of the hospital survey on patient safety culture in critical access hospitals, Zachariah T. Croll, Andrew F. Coburn, and Karen B. Pearson

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Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facilities While Others Retain Them?, Zach Croll, John A. Gale, Walter Gregg, and Andrew F. Coburn

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Community benefit activities of critical access hospitals, non-metropolitan hospitals and metropolitan hospitals, Zach Croll, John Gale, and Andrew Coburn

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Community benefit activities of critical access hospitals, non-metropolitan hospitals and metropolitan hospitals: National and state data, Zach Croll, John Gale, and Andrew Coburn

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Why do some critical access hospitals close their skilled nursing facilities while others retain them?, John A. Gale, Zachariah T. Croll, Andrew F. Coburn, and R. Gregg

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Adolescent alcohol use: Do risk and protective factors explain rural-urban differences, John A. Gale, Jennifer D. Lenardson, David Lambert, and David Hartley

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Integrated care in rural areas, David Lambert and John Gale

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Substance use and abuse in rural America, Jennifer D. Lenardson, David Hartley, John Gale, and Karen B. Pearson

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Pursuing high performance in rural health care, A. Clinton MacKinney, Keith J. Mueller, Andrew F. Coburn, Jennifer P. Lundblad, Timothy D. McBride, and Sidney D. Watson

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Evidence-based falls prevention in critical access hospitals, Karen B. Pearson and Andrew F. Coburn

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

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Development of the rural active living perceived environmental support scale, M. R. Umstattd, S. L. Baller, E. Hennessy, David Hartley, C. D. Economos, R. R. Hyatt, Anush Yousefian, and J. S. Hallam

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Health care access and use among the rural uninsured, Erika C. Ziller, Jennifer D. Lenardson, and Andrew F. Coburn

2011

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Providing better care at lower cost: Building Maine's health data infrastructure to support financing and delivery system reform, Andrew Coburn

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Improving Hospital Patient Safety Through Teamwork: The Use of TeamSTEPPS In Critical Access Hospitals, Andrew F. Coburn and Zach Croll

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Developing regional STEMI systems of care: A review of the evidence and the role of the Flex program, John A. Gale

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How does the rural food environment affect rural childhood obesity?, David Hartley, Nathaniel Anderson, Kimberley Fox, and Jennifer Lenardson

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Provision of long term care services by critical access hospitals: Are things changing?, Melanie Race, John Gale, and Andrew Coburn

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Provision of long term care services by critical access hospitals: Are things changing?, Melanie Race, John Gale, and Andrew Coburn

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Understanding the rural food environment: Perspectives of low-income parents, Anush Yousefian, Al Leighton, Kimberley Fox, and David Hartley

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Health care access and use among the rural uninsured, Erika C. Ziller, Jennifer D. Lenardson, and Andrew F. Coburn

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Health care access and use among the rural uninsured, Erika C. Ziller, Jennifer D. Lenardson, and Andrew F. Coburn

2010

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The Role of State Flex Programs in Supporting Quality Improvement in Critical Access Hospitals, Andrew F. Coburn, John A. Gale, Mark Richards, and Anush Yousefian Hansen

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Models For Quality Improvement In Critical Access Hospitals: The Role Of State Flex Programs, Andrew F. Coburn, John A. Gale, Mark Richards, Anush Yousefian Hansen, and Melanie Race

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Are rural health clinics part of the rural safety net?, Hartley David, John Gale, Al Leighton, and Stuart Bratesman

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Safety net activities of independent rural health clinics, Hartley David, John Gale, Al Leighton, and Stuart Bratesman

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Rural America: A look beyond the images, John Gale

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Encouraging rural health clinics to provide mental health services: What are the options?, John A. Gale, Stephanie Loux, Barbara Shaw, and David Hartley

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Encouraging rural health clinics to provide mental health services: What are the options?, John A. Gale, Stephanie Loux, Barbara Shaw, and David Hartley

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The provision of mental health services by rural health clinics, John A. Gale, Stephanie Loux, Barbara Shaw, and David Hartley

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The provision of mental health services by rural health clinics, John A. Gale, Stephanie Loux, Barbara Shaw, and David Hartley

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Characteristics of inpatient psychiatric units in small rural hospitals, David Hartley, Stephanie Loux, David Lambert, Anush Gale, and Yousefian

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Characteristics of inpatient psychiatric units in small rural hospitals, David Hartley, Stephanie Loux, David Lambert, John Gale, and Anush Yousefian

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Access to mental health services and family impact of rural children with mental health problems, Jennifer D. Lenardson, Erika C. Ziller, David Lambert, Melanie M. Race, and Anush Yousefian

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Racial, socioeconomic, and rural-urban disparities in obesity-related bariatric surgery, Amy E. Wallace, Y. Young-Xu, David Hartley, and William B. Weeks

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Development of the rural active living assessment tools: Measuring rural environments, Anush Yousefian, Erin Hennessy, M. Renee Umstattd, and Christina Economos

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Access to rural mental health services: Service use and out-of-pocket costs, Erika C. Ziller, Nathaniel J. Anderson, and Andrew F. Coburn

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Access to rural mental health services: Service use and out-of-pocket costs, Erika C. Ziller, Nathaniel J. Anderson, and Andrew F. Coburn

2009

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Maine barriers to integration study: The view from Maine on the barriers to integrated care and recommendations for moving forward, John A. Gale and David Lambert

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Policy Issues Affecting Maine’s Hospitals, John A. Gale and Jennifer Lenardson

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A community benefit reporting toolkit for critical access hospitals, John A. Gale and Melanie Race

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Mental health and substance abuse in Maine: Building a community-based system, David Lambert and John Gale

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Rural children don't receive the mental health care they need, David Lambert, Erika C. Ziller, and Jennifer D. Lenardson

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Profile of rural health insurance coverage: A chartbook, Jennifer D. Lenardson, Erika C. Ziller, and Andrew F. Coburn

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Availability, characteristics, and role of detoxification services in rural areas, Jennifer Lenardson, Melanie Race, and John Gale

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Few and far away: Detoxification services in rural areas, Jennifer Lenardson, Melanie Race, and John Gale

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Health insurance profile indicates need to expand coverage in rural areas, Jennifer Lenardson, Erika Ziller, Andrew Coburn, and Nathaniel Anderson