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.

Follow


2021

Link

HIV and Hepatitis C in Rural Areas: Prevalence, Service Availability, and Challenges [Webinar], Katherine Ahrens PhD and Amanda Burgess MPPM

Link

Rural-Urban Residence and Emergency Contraception Use, Access, and Counseling in the United States, 2006-2017, Carly Milkowski MPH, Erika Ziller PhD, and Katherine Ahrens PhD

Link

Rural-urban residence and maternal hepatitis C infection, United States: 2010-2018, Katherine A. Ahrens PhD, MPH; Laura M. Rossen PhD, MS; Amanda R. Burgess MPPM; Kristin K. Palmsten ScD; and Erika C. Ziller PhD, MS

PDF

Opioid-Related Visits to Rural Emergency Departments, Erika C. Ziller PhD, Jean A. Talbot PhD, Deborah Thayer MBA, and Carly Milkowski MPH

PDF

Capacity of Rural Counties to Address an HIV or Hepatitis C Outbreak, Jennifer Lenardson MHS; Jaclyn Janis RN, MPH; Amanda Burgess MPPM; Karen Pearson MLIS, MA; and Martha Elbaum MPA

PDF

Rural HIV Prevalence and Service Availability in the United States: A Chartbook, Katherine Ahrens PhD, Amanda Burgess MPPM, Louisa Munk, and Erika Ziller PhD

Link

Advancing Population Health in Rural Places: Key Lessons and Policy Opportunities, Keith J. Mueller PhD; Delaney P. Bounds MPH; Andrew F. Coburn PhD; Alana D. Knudson PhD; Jennifer P. Lundblad PhD, MBA; A. Clinton MacKinney MD, MS; and Timothy D. McBride PhD

2020

PDF

Substance Use among Rural and Urban Youth and Young Adults, Jennifer D. Lenardson MHS, Nathan Paluso MPH, and Erika C. Ziller PhD

Link

Implementation of Flex EMS Supplemental Funding Projects: Year One Activities, Karen B. Pearson MLIS, MA; John A. Gale MS; and Sara Kahn-Troster MPH

Link

Supporting Critical Access Hospitals (CAHs) during the COVID-19 Pandemic: Summary Results of a Survey of State Flex Coordinators, John Gale MS; Zachariah T. Croll MPH; Yvonne Jonk PhD; Sara Kahn-Troster MPH; and Karen Pearson MLIS, MA

Link

Supporting CAHs during the COVID-19 Pandemic: Results of a Survey of State Flex Coordinators, John Gale MS; Zachariah T. Croll MPH; Yvonne Jonk PhD; Sara Kahn-Troster MPH; and Karen Pearson MLIS, MA

Link

Rebuilding the Foundation of Rural Community Health after COVID-19, John A. Gale MS, Alana Knudson, and Shena Popat

PDF

A Century Later: Rural Public Health's Enduring Challenges and Opportunities., Erika C. Ziller PhD and Carly Milkowski MPH

Link

Pent-Up Demand for Care among Dual-Eligible Victims of Elder Financial Exploitation in Maine, Yvonne Jonk PhD, Kimberly I. Snow MHSA, Deborah Thayer MBA, Catherine McGuire BS, Stuart Bratesman MPP, Charles A. Smith PhD, and Erika C. Ziller PhD

Link

Telebehavioral health (TBH) use among rural medicaid beneficiaries: Relationships with telehealth policies, Jean A. Talbot PhD, Yvonne Jonk PhD, Amanda Burgess MPPM, Deborah Thayer, Nathan Paluso MPH, and Andrew F. Coburn PhD

Link

Addressing Opioid Use in Rural Communities: Examples from Critical Access Hospitals, John A. Gale MS; Sara Kahn-Troster MPH; Karen B. Pearson MLIS, MA; and Nathan First LCSW, MSW, MA

Link

Virtually possible: using telehealth to bring reproductive health care to women with opioid use disorder in rural Maine, Terri-Ann Thompson, Katherine A. Ahrens PhD, and Leah Coplon

Link

Engaging Critical Access Hospitals in Addressing Rural Substance Use, John A. Gale MS; Sara Kahn-Troster MPH; Zachariah T. Croll MPH; and Nathan L. First LCSW, MSW, MA

PDF

Rural-Urban Residence and Mortality among Three Cohorts of U.S. Adults, Erika C. Ziller PhD; Jennifer D. Lenardson MHS; and Katherine A. Ahrens MPH, PhD

Link

Process of Identifying Measures and Data Elements for the HRSA School-Based Telehealth Network Grant Program, Marcia M. Ward PhD; Kimberley Fox MPA; Kimberly Merchant; Amanda Burgess MPPM, MPH; Fred Ullrich; Karen Pearson MLIS, MA; George Shaler MPH; Christopher Shea; Steve North; and Carlos Mena

Link

Exploring State Data Sources to Monitor Rural Emergency Medical Services Performance Improvement, John A. Gale MS; Karen B. Pearson MLIS, MA; and Yvonne Jonk PhD

Link

Maternal opioid use disorder at delivery hospitalization in a rural state: Maine, 2009-2018., Sarah M.B. Gabrielson, Jenny L. Carwile, A. B. O'Connor, and Katherine A. Ahrens PhD

Link

Rural-Urban Differences in Hospitalizations for Opioid Use-Associated Infective Endocarditis in the United States, 2003-2016., E. Katherine Nenninger, Jenny L. Carwile, Katherine Ahrens PhD, Brett Armstrong, and Kinna Thakarar

PDF

Health Care Use and Access among Rural and Urban Nonelderly Adult Medicare Beneficiaries, Erika C. Ziller PhD, Amanda Burgess MPPM, and Deborah Thayer MBA

2019

Link

Behavioral Health in Rural America: Challenges and Opportunities, John A. Gale MS; Jaclyn Janis BSN, RN; Andrew F. Coburn PhD; and Hanna Rochford MPH

Link

Behavioral Health in Rural America: Challenges and Opportunities [EXECUTIVE SUMMARY], John A. Gale MS; Jaclyn Janis BSN, RN; and Andrew F. Coburn PhD

Link

What Is Rural? Challenges and Implications of Definitions that Inadequately Encompass Rural People and Places., Kevin J Bennett PhD; Tyrone F Borders PhD; George M. Holmes PhD; Katy Backes Kozhimannil PhD, MPA; and Erika C. Ziller PhD

PDF

Rural Health Clinic Costs and Medicare Reimbursement, John A. Gale MS, Zachariah T. Croll MPH, and Andrew F. Coburn PhD

Link

What to Expect with MaineCare Expansion [OpEd], Zachariah T. Croll BA

Link

Association Between Rurality and Lung Cancer Treatment Characteristics and Timeliness, Kathleen M Fairfield MD, MPH, DrPH; Adam W. Black; F. Lee Lucas PhD; Kimberly Murray MPP; Erika C. Ziller PhD; Neil Korsen MDMS; Leo B. Waterston MA; and Paul K. J. Han MD, MA, MPH

Link

Rural Health in Maine and America vs. the World, Erika C. Ziller PhD and Yvonne Jonk PhD

Link

Growing Up Rural [Podcast], Erika C. Ziller PhD and Yvonne Jonk PhD

PDF

Sociodemographic and Health Status Characteristics of Maine's Newly Eligible Medicaid Beneficiaries [Data Brief], Zachariah T. Croll MPH, Erika C. Ziller PhD, and Barbara Leonard MPH

Link

How Did We Get Here? Rural Health Challenges in America [Podcast], Erika C. Ziller PhD and Yvonne Jonk PhD

Link

Female Age at First Sexual Intercourse by Rural-Urban Residence and Birth Cohort., Jaclyn A. Janis BSN, RN, MPH; Katherine A. Ahrens PhD; and Erika C. Ziller PhD

Link

Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2017, Zach T. Croll MPH, John A. Gale MS, and Jeremy Zuckero

PDF

The Health Care Costs of Financial Exploitation in Maine, Kimberly I. Snow MHSA, Yvonne Jonk PhD, Deborah Thayer MBA, Catherine McGuire BS, Stuart Bratesman MPP, Charles A. Smith PhD, and Erika C. Ziller PhD

PDF

Preventive Health Service Use among Rural Women, Erika C. Ziller PhD; Jennifer D. Lenardson MHS; Nathan Paluso MPH; and Jaclyn Janis BSN, RN

Link

Rural-Urban Differences in the Decline of Adolescent Cigarette Smoking., Erika C. Ziller PhD, Jennifer D. Lenardson MHS, Nathan Paluso MPH, Jean A. Talbot PhD, and Angela Daley PhD

Link

Implementation of the Flex Program's Innovative Models Program Area: Final Evaluation Report, John A. Gale MS, Sara Kahn-Troster MPH, and Andrew F. Coburn PhD

Link

Implementation and Early Results of the Flex Program's Innovative Models Program Area (Briefing Paper #42), John A. Gale MS, Sara Kahn-Troster MPH, and Andrew F. Coburn PhD

Link

Advancing Tobacco Prevention and Control in Rural America: Executive Summary, Jean A. Talbot PhD; Martha Elbaum Williamson MPA; Karen B. Pearson MLIS, MA; Jennifer D. Lenardson MHS; Erika C. Ziller PhD; Frances Jimenez; Nathan Paluso MPH; Louisa Munk; Jaclyn Janis BSN, RN; and Paula F. Clayton MS, RDN, LD

Link

Advancing Tobacco Prevention and Control in Rural America, Jean A. Talbot PhD; Martha Elbaum Williamson MPA; Karen B. Pearson MLIS, MA; Jennifer D. Lenardson MHS; Erika C. Ziller PhD; Frances Jimenez; Nathan Paluso MPH; Louisa Munk; Jaclyn Janis BSN, RN; and Paula F. Clayton MS, RDN, LD

Link

Long-Term Services and Supports Use Among Older Medicare Beneficiaries in Rural and Urban Areas, Andrew F. Coburn PhD; Erika C. Ziller PhD; Nathan Paluso MPH; Deborah Thayer MBA; and Jean A. Talbot PhD, MPH

Link

Improving Rural Systems of Care for Time Critical Diagnoses (Briefing Paper #41), John A. Gale MS and Karen B. Pearson MLIS, MA

Link

Health Status and Access to Care among Maine's Low-Income Childless Adults: Implications for State Medicaid Expansion, Zachariah T. Croll MPH and Erika C. Ziller PhD

2018

Link

Assessing the Unintended Consequences of Health Policy on Rural Populations and Places, Keith J. Mueller PhD; Charles Alfero MA; Andrew F. Coburn PhD; Jennifer P. Lundblad PhD, MBA; A. Clinton MacKinney MD, MS; Timothy D. McBride PhD; and Paula Weigel PhD

PDF

Access to Health Care Services for Adults in Maine [Policy Brief], Erika C. Ziller PhD, Barbara Leonard MPH, Amanda Burgess MPPM, and Nathan Paluso MPH

Link

Patterns of Telehealth Use Among Rural Medicaid Beneficiaries, Jean A. Talbot PhD, Amanda Burgess MPPM, Deborah Thayer MBA, Lily Parenteau, Nathan Paluso MPH, and Andrew F. Coburn PhD

Link

CAHs' Community Health Needs Assessments and Implementation Plans: How Do They Align? (FMT Briefing Paper #39), John A. Gale MS, Zach T. Croll BA, Lauren Zoll MPH, and Andrew F. Coburn PhD