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


2017

PDF

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

PDF

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

PDF

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

Link

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

PDF

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

2016

Link

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

PDF

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

PDF

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

PDF

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

PDF

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

PDF

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

PDF

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

PDF

Health Insurance CO-OPs: Product Availability and Premiums in Rural Counties, Erika C. Ziller PhD, Zach T. Croll BA, and Andrew F. Coburn PhD

Link

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

Link

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

Link

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

PDF

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

PDF

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

PDF

Adverse Childhood Experiences in Rural and Urban Contexts, Jean Talbot PhD, MPH; Donald Szlosek MHS; and Erika C. Ziller PhD

PDF

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

PDF

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

Link

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

2015

Link

Critical Access Hospital-Relevant Measures for Health System Development and Population Health, John A. Gale MS, Andrew F. Coburn PhD, and Zach T. Croll MPH

PDF

Maine EMS Community Paramedicine Pilot Program Evaluation, Karen B. Pearson MLIS, MA and George Shaler MPH

PDF

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

PDF

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

PDF

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

PDF

Implications of Rural Residence and Single Mother Status for Maternal Smoking Behaviors, Jean A. Talbot PhD, Donald Szlosek MPH, and Erika C. Ziller PhD

PDF

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

PDF

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

PDF

Promoting Active Living in Rural Communities, Anush Yosefian Hansen MS, MA and David Hartley PhD, MHA

Link

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

PDF

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

Link

Rural and Remote Food Environments and Obesity, Jennifer D. Lenardson MHS; Anush Yousefian Hansen MS, MA; and David Hartley PhD, MHA

PDF

Rural Health Clinic Readiness for Patient-Centered Medical Home Recognition: Preparing for the Evolving Healthcare Marketplace [Working Paper], John A. Gale MS; Zach T. Croll BA; and David Hartley PhD, MHA

PDF

Rural Health Clinic Readiness for Patient-Centered Medical Home Recognition: Preparing for the Evolving Healthcare Marketplace [Policy Brief], John A. Gale MS; Zach T. Croll BA; David Hartley PhD, MHA; and Andrew F. Coburn PhD

2014

PDF

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 D. McBride PhD; and Keith J. Mueller PhD

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

PDF

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

PDF

Integrated Care for Older Adults in Rural Communities, Eileen Griffin JD and Andrew F. Coburn PhD

PDF

Integrated Care Management in Rural Communities, Eileen Griffin JD and Andrew F. Coburn PhD

PDF

Profile of Rural Residential Care Facilities: A chartbook, Jennifer D. Lenardson MHS, Eileen Griffin JD, Zach T. Croll BA, Erika C. Ziller PhD, and Andrew F. Coburn PhD

PDF

High Deductible Health Insurance Plans in Rural Areas, Jennifer D. Lenardson MHS, Erika C. Ziller PhD, and Andrew F. Coburn PhD

PDF

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

PDF

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

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

PDF

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

PDF

Meaningful Use of Electronic Health Record by Rural Health Clinics [Working Paper], John A. Gale MS; David Hartley PhD, MHA; and Zach T. Croll BA

PDF

Meaningful Use of Electronic Health Record (EHR) by Rural Health Clinics [Policy Brief], John A. Gale MS; David Hartley PhD, MHA; and Zach T. Croll BA

PDF

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