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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2014

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

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Collaborative Community Health Needs Assessments: Approaches and Benefits for Critical Access Hospitals (FMT Policy Brief #36), John A. Gale MS, Andrew F. Coburn PhD, and Helen E. Newton BA

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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

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

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

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

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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

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

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

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

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The Evidence for Community Paramedicine in Rural Areas: State and Local Findings and the Role of the State Flex Program (Briefing Paper #34), Karen B. Pearson MLIS, MA; John A. Gale MS; and George Shaler MPH

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Meaningful Use of Electronic Health Record by Rural Health Clinics [Policy Brief], John A. Gale MS; David Hartley PhD, MHA; and Zachariah T. Croll MPH

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Community Paramedicine in Rural Areas: State and Local Findings and the Role of the State Flex Program (Policy Brief #35), Karen B. Pearson MLIS, MA; John A. Gale MS; and George Shaler MPH

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

Substance Use and Abuse in Rural America, Jennifer D. Lenardson MHS; David Hartley PhD, MHA; John A. Gale MS; and Karen B. Pearson MLIS, MA

Integrated Care in Rural Areas, David Lambert PhD and John A. Gale MS

Access to Medical Care in Rural America, Erika C. Ziller PhD

2013

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Telemental Health in Today's Rural Health System, David Lambert PhD; John A. Gale MS; Anush Yousefian Hansen MS, MA; Zachariah T. Croll BA; and David Hartley PhD, MHA

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2013 Survey of Children Served by MaineCare, Jean A. Talbot PhD, Deborah Thayer MBA, Zachariah T. Croll MPH, and Kimberley Fox MPA

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Rural Children Experience Different Rates of Mental Health Diagnosis and Treatment, David Hartley PhD, MPH; Jennifer D. Lenardson MHS; Nathaniel J. Anderson MS, MPH; and Samantha J. Neuwirth MD

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Mental Health Services in Rural Long-Term Care: Challenges and opportunities for improvement, Jean A. Talbot PhD and Andrew F. Coburn PhD

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Patterns of Care for Rural and Urban Children with Mental Health Problems, Nathaniel J. Anderson MS, MPH; Samantha J. Neuwirth MD; Jennifer D. Lenardson MHS; and David Hartley PhD, MHA

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Rural Considerations in Establishing Network Adequacy Standards for Qualified Health Plans in State and Regional Health Insurance Exchanges, Jean A. Talbot PhD, Andrew F. Coburn PhD, Erika C. Ziller PhD, and Zachariah T. Croll BA

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Challenges and Opportunities for Improving Mental Health Services in Rural Long-Term Care, Jean A. Talbot PhD and Andrew F. Coburn PhD

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

Advancing the Use of CBT with Justice-Involved Women, Erica King MSW and Marilyn Van Dieten PhD

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Emergency Transfers of the Elderly from Nursing Facilities to CAHs (Policy Brief #32), Karen B. Pearson MLIS, MA and Andrew F. Coburn PhD

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Rural acute myocardial infarction survey (RAMIS), Nikiah Nudell BA, NRP; Tom Bouthillet NREMT-P; Don Rice MD; John A. Gale MS; and Gary Wingrove EMT-P

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

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Children served by MaineCare, 2012: Survey findings, Nathaniel J. Anderson MS, MPH; Kimberley Fox MPA; Deborah Thayer MBA; and Zachariah T. Croll MPH

2012

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Why Do Some CAHs Close Their Skilled Nursing Facility Services While Others Retain Them? (Briefing Paper #32), John A. Gale MS; Zach T. Croll MPH; Andrew F. Coburn PhD; and Walter R. Gregg MA, MPH

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Evidence-Based Falls Prevention in CAHs (Policy Brief #24), Karen B. Pearson MLIS, MA and Andrew F. Coburn PhD

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Community Benefit Activities of CAHs, Non-Metropolitan Hospitals, and Metropolitan Hospitals, 2010, Zach T. Croll MPH, John A. Gale MS, and Andrew F. Coburn PhD

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Why Do Some CAHs Close Their Skilled Nursing Facility Services While Others Retain Them? (Policy Brief #31), John A. Gale MS; Zach T. Croll MPH; Andrew F. Coburn PhD; and Walter Gregg MA, MPH

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Health Care Access and Use Among the Rural Uninsured [Article], Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD

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Promoting a Culture of Safety: Use of the Hospital Survey on Patient Safety Culture in CAHs (Policy Brief #27), Andrew F. Coburn PhD; Zach T. Croll MPH; and Karen B. Pearson MLIS, MA

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Rural Implications of Geographic Rating of Health Insurance Premiums, Andrew F. Coburn PhD, Erika C. Ziller PhD, Zachariah T. Croll BA, and Elizabeth Kilbreth PhD

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Promoting a Culture of Safety: Use of the Hospital Survey on Patient Safety Culture in CAHs (Briefing Paper #30), Zach T. Croll MPH; Andrew F. Coburn PhD; and Karen B. Pearson MLIS, MA

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Adolescent Alcohol Use: Do risk and protective factors explain rural-urban differences? [Policy Brief], John A. Gale MS; Jennifer D. Lenardson MHS; David Lambert PhD; and David Hartley PhD, MHA

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Pursuing High Performance in Rural Health Care, A. Clinton MacKinney MD, MS; Keith J. Mueller PhD; Andrew F. Coburn PhD; Jennifer P. Lundblad PhD, MBA; Timothy D. McBride PhD; and Sidney D. Watson JD

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Adolescent Alcohol Use: Do Risk and Protective Factors Explain Rural-Urban Differences? [Working Paper], John A. Gale MS; Jennifer D. Lenardson MHS; David Lambert PhD; and David Hartley PhD, MHA

2011

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How Does the Rural Food Environment Affect Rural Childhood Obesity?, David Hartley PhD, MHA; Nathaniel J. Anderson MS, MPH; Kimberley Fox MPH; and Jennifer D. Lenardson MHS

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Health Care Access and Use Among the Rural Uninsured [Policy Brief], Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD

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Developing Regional STEMI Systems of Care: A Review of the Evidence and the Role of the Flex Program (Policy Brief #23), John A. Gale MS

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Developing Regional STEMI Systems of Care: A Review of the Evidence and the Role of the Flex Program (Briefing Paper #29), John A. Gale MS

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Improving Hospital Patient Safety Through Teamwork: The Use of TeamSTEPPS in CAHs (Policy Brief #21), Andrew F. Coburn PhD and Zach T. Croll BA

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Understanding the rural food environment: Perspectives of low-income parents, Anush Yousefian Hansen MS, MA; Al Leighton BA; Kimberley Fox MPA; and David Hartley PhD, MHA

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Provision of Long Term Care Services by CAHs: Are Things Changing? (Policy Brief #19), Melanie Race MS, John A. Gale MS, and Andrew F. Coburn PhD

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Providing Better Care at Lower Cost: Building Maine's health data infrastructure to support financing and delivery system reform, Andrew F. Coburn PhD

2010

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Access to Mental Health Services and Family Impact of Rural Children with Mental Health Problems, Jennifer D. Lenardson MHS; Erika C. Ziller PhD; David Lambert PhD; Melanie M. Race MS; and Anush Yousefian Hansen MS, MA