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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2019

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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; and Jean A. Talbot PhD, MPH

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

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Sociodemographic and Health Status Characteristics of Maine's Newly Eligible Medicaid Beneficiaries [Data Brief], Zachariah Croll MPH, Erika Ziller PhD, and Barbara Leonard MPH

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Health Status and Access to Care among Maine's Low-Income Childless Adults: Implications for State Medicaid Expansion, Zach Croll MPH and Erika Ziller PhD

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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

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Improving Rural Systems of Care for Time Critical Diagnoses: A Review of State Flex Program Activities, John A. Gale MS and Karen B. Pearson

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

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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

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

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

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

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

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

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

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

2018

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Strategies to Combat Opioid Use in Rural Communities, John Gale

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The Role of Rural Hospitals in Addressing Opioid and Other Substance Use Problems, John A. Gale

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Rural Health Clinic Participation in the Merit-Based Incentive System and Other Quality Reporting Initiatives: Challenges and Opportunities, John A. Gale MS, Zach T. Croll BA, and Andrew F. Coburn PhD

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Critical Access Hospitals' Community Health Needs Assessments and Implementation Plans: How do they Align?, John A. Gale MS, Zach T. Croll BA, Lauren Zoll MPH, and Andrew F. Coburn PhD

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An Interim Evaluation Report of the Innovative Projects Portfolio of the Flex Program, Sara Kahn-Troster MPH; John A. Gale MS; Anush Yousefian Hansen MS,MA; and Andrew F. Coburn PhD

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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 McBride PhD; and Paula Weigel PhD

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Residential Settings and Healthcare Use of the Rural "Oldest-Old" Medicare Population, Nathan Paluso MPH; Zach T. Croll; Deborah Thayer MBA; Jean A. Talbot PhD, MPH; and Andrew F. Coburn PhD

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

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Low-Income, Uninsured Mainers Face Substantial Challenges Getting Health Care, Erika C. Ziller PhD, Amanda R. Burgess MPPM, and Barbara Leonard MPH

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Health Equity Challenges in Rural America, Erika C. Ziller PhD and Andrew F. Coburn PhD

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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

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Medicaid Income Eligibility Transitions Among Rural Adults, Erika C, Ziller PhD; Deborah Thayer; and Jennifer D. Lenardson

2017

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

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Rural Long-Term Services and Supports: A Primer, Andrew F. Coburn PhD; Jennifer P. Lundblad PhD, MBA; Erin M. Mobley MPH; and RUPRI Health Panel

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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; Zach T. Croll MPH; and George Shaler MPH

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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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Rural Opioid Prevention and Treatment Strategies: The Experience in Four States [Working Paper], 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 F. 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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State Flex Program Rural Emergency Medical Services Assessment Strategies, Karen B. Pearson MLIS, MA; John A. Gale MS; Sara Kahn-Troster MPH; and Andrew F. Coburn PhD

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

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Time-Varying Effects of Parental Alcoholism on Depression., Sunita Thapa, Arielle S Selya, and Yvonne Jonk

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Knowledge of Health Insurance Concepts and the Affordable Care Act among Rural Residents, Erika C. Ziller PhD

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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

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 Zach T. Croll BA

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Population Health Strategies of Critical Access Hospitals, John A. Gale MS; Andrew F. Coburn PhD; Karen B. Pearson MLIS, MA; Zach T. Croll BA; and George Shaler MPH

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Comparing the Community Benefit Spending of Critical Access, Other Rural, and Urban Hospitals, John A. Gale MS, Zach T. Croll, Andrew F. Coburn PhD, and Jamar Croom MS

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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