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


2018

Link

An Interim Evaluation Report of the Innovative Projects Portfolio of the Flex Program (FMT Briefing Paper #37), Sara Kahn-Troster MPH; John A. Gale MS; Anush Yousefian Hansen MS,MA; and Andrew F. Coburn PhD

2017

Link

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

Link

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

Link

State Flex Program Rural EMS Assessment Strategies (FMT Policy Brief #46), Karen B. Pearson MLIS, MA; John A. Gale MS; Sara Kahn-Troster MPH; and Andrew F. Coburn PhD

PDF

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

PDF

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

PDF

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

PDF

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

PDF

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

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 [Working Paper], 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 [Policy Brief], John A. Gale MS; Anush Yousefian Hansen MS,MA; and Martha Elbaum Williamson MPA

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 CAHs, Other Rural, and Urban Hospitals (FMT Policy Brief #45), John A. Gale MS, Zach T. Croll, Andrew F. Coburn PhD, and Jamar Croom MS

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: Recruiting and Retaining Maine's Health Care Workforce, 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: Maine's Behavioral Health Services, Amanda Burgess MPPM 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, Zachariah T. Croll BA, and Andrew F. Coburn PhD

Link

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 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, Zachariah T. Croll BA, and Rachel Gallo MPH

Link

Population Health Strategies of CAHs (FMT Briefing Paper #36), John A. Gale MS; Andrew F. Coburn PhD; Karen B. Pearson MLIS, MA; Zachariah T. Croll MPH; and George Shaler MPH

Link

Community Impact and Benefit Activities of CAHs, Other Rural, and Urban Hospitals, 2014, Zach T. Croll MPH, Lauren Zoll MPH, John A. Gale MPH, and Andrew F. Coburn PhD

Link

Understanding the Business Case for Telemental Health in Rural Communities., David Lambert PhD; John A. Gale MS; David Hartley PhD, MHA; Zachariah 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, Zachariah T. Croll MPH, and Erika C. Ziller PhD

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 A. Talbot PhD, Donald Szlosek MPH, 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 A. Talbot PhD, Donald Szlosek MPH, and Erika C. Ziller PhD

2015

Link

CAH-Relevant Measures for Health System Development & Population Health (Policy Brief #42), John A. Gale MS, Andrew F. Coburn PhD, and Zach T. Croll 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 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

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

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

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

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

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

PDF

Promoting Active Living in Rural Communities, Anush Yousefian Hansen MS, MA 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; Zachariah T. Croll MPH; and David Hartley PhD, MHA

Link

Charity Care and Uncompensated Care Activities of Tax-Exempt Critical Access Hospitals (FMT Briefing Paper #35), John A. Gale MS, Jamar Croom MS, Zach T. Croll MPH, and Andrew F. Coburn PhD

Link

Charity Care and Uncompensated Care Activities of Tax-Exempt Critical Access Hospitals (FMT Policy Brief #38), John Gale MS, Jamar Croom MS, Zach T. Croll MPH, and Andrew F. Coburn PhD

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

PDF

Rural Health Clinic Readiness for Patient-Centered Medical Home Recognition: Preparing for the Evolving Healthcare Marketplace [Working Paper], John A. Gale MS; Zachariah T. Croll MPH; 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; Zachariah T. Croll MPH; 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