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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2013

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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

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Emergency Transfers of the Elderly from Nursing Facilities to Critical Access Hospitals: Opportunities for improving patient safety and quality, Karen B. Pearson MLIS, MA and Andrew F. Coburn PhD

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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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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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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 Zach T. Croll BA

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

2012

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Promoting a Culture of Safety: Use of the Hospital Survey On Patient Safety Culture in Critical Access Hospitals [Policy Brief], Andrew F. Coburn PhD; Zach T. Croll BA; 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, Zach 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 Critical Access Hospitals [Briefing Paper], Zach T. Croll BA; Andrew F. Coburn PhD; and Karen B. Pearson MLIS, MA

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Community benefit activities of critical access hospitals, non-metropolitan hospitals and metropolitan hospitals, Zach T. Croll BA, John A. Gale MS, and Andrew F. Coburn PhD

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Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facility Services While Others Retain Them? [Briefing Paper], John A. Gale MS; Zach T. Croll BA; Andrew F. Coburn PhD; and Walter R. Gregg MA, MPH

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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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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

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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 MBA; Timothy D. McBride PhD; and Sidney D. Watson JD

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Evidence-Based Falls Prevention in Critical Access Hospitals, Karen B. Pearson MLIS, MA and Andrew F. Coburn PhD

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

2011

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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

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Improving Hospital Patient Safety Through Teamwork: The Use of TeamSTEPPS In Critical Access Hospitals, Andrew F. Coburn PhD and Zach T. Croll BA

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Developing regional STEMI systems of care: A review of the evidence and the role of the Flex program, John A. Gale MS

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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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Provision of long term care services by critical access hospitals: Are things changing?, Melanie Race MS, John A. Gale MS, and Andrew F. Coburn PhD

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

2010

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Impact of Employment Transitions on Health Insurance Coverage of Rural Residents, Nathaniel J. Anderson MS, MPH; Erika C. Ziller PhD; Melanie M. Race MS; and Andrew F. Coburn PhD

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The Role of State Flex Programs in Supporting Quality Improvement in Critical Access Hospitals, Andrew F. Coburn PhD; John A. Gale MS; Mark Richards BA; and Anush Yousefian Hansen MS,MA

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Models For Quality Improvement In Critical Access Hospitals: The Role Of State Flex Programs, Andrew F. Coburn PhD; John A. Gale MS; Mark Richards BA; Anush Yousefian Hansen MS, MA; and Melanie Race MS

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Are Rural Health Clinics Part of the Rural Safety Net?, Hartley David PhD, MHA; John A. Gale MS; Al Leighton BA; and Stuart Bratesman MPP

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Rural America: A look beyond the images, John A. Gale MS

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Encouraging Rural Health Clinics to Provide Mental Health Services: What are the options?, John A. Gale MS; Stephanie Loux; Barbara Shaw JD; and David Hartley PhD, MHA

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The Provision of Mental Health Services by Rural Health Clinics, John A. Gale MS; Stephanie Loux; Barbara Shaw JD; and David Hartley PhD, MHA

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Safety Net Activities of Independent Rural Health Clinics, David Hartley PhD, MHA; John A. Gale MS; Al Leighton BA; and Stuart Bratesman MPP

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Characteristics of Inpatient Psychiatric Units in Small Rural Hospitals, David Hartley PhD, MHA; Stephanie Loux MS; David Lambert PhD; John A. Gale MS; and Anush Yousefian Hansen MS, MA

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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

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Mental Health Services in Rural Jails [Policy Brief], Melanie Race MS; Anush Yousefian Hansen MS,MA; David Lambert PhD; and David Hartley PhD, MHA

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Mental Health Services in Rural Jails [Working Paper], Melanie Race MS; Anush Yousefian Hansen MS,MA; David Lambert PhD; and David Hartley PhD, MHA

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The Cost of Defensive Medicine in the United States, J. William Thomas PhD, Erika C. Ziller PhD, and Deborah A. Thayer MBA

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Racial, socioeconomic, and rural-urban disparities in obesity-related bariatric surgery, Amy E. Wallace; Yinong Young-Xu; David Hartley PhD, MHA; and William B. Weeks

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Development of the Rural Active Living Assessment Tools: Measuring rural environments, Anush Yousefian Hansen MS, MA; Erin Hennessey MPH; M. Renee Umstattd PhD; Christina Economos PhD; Jeffrey S. Hallam PhD; Raymond R. Hyatt PhD; and David Hartley PhD, MHA

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Access to rural mental health services: Service use and out-of-pocket costs, Erika C. Ziller PhD; Nathaniel J. Anderson MS, MPH; and Andrew F. Coburn PhD

2009

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Maine Barriers to Integration Study: The view from Maine on the barriers to integrated care and recommendations for moving forward, John A. Gale MS and David Lambert PhD

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Policy Issues Affecting Maine’s Hospitals, John A. Gale MS and Jennifer D. Lenardson MHS

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A community benefit reporting toolkit for critical access hospitals, John A. Gale MS and Melanie Race MS

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Mental Health and Substance Abuse in Maine: Building a community-based system, David Lambert PhD and John A. Gale MS

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Rural children don't receive the mental health care they need, David Lambert PhD, Erika C. Ziller PhD, and Jennifer D. Lenardson MHS

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Availability, Characteristics, and Role of Detoxification Services in Rural Areas, Jennifer D. Lenardson MHS, Melanie Race MS, and John A. Gale MS

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Profile of rural health insurance coverage: A chartbook, Jennifer D. Lenardson MHS, Erika C. Ziller PhD, and Andrew F. Coburn PhD

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Health Insurance Profile Indicates Need to Expand Coverage in Rural Areas, Jennifer D. Lenardson MHS; Erika C. Ziller PhD; Andrew F. Coburn PhD; and Nathaniel J. Anderson MS, MPH

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The 2009 Report to the Secretary: Rural Health and Human Services Issues, National Advisory Committee on Rural Health and Human Services

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An Environmental Assessment Instrument for Rural Communities: Development of the Rural Active Living Assessment (RALA) Tools, Anush Yousefian Hansen MS, MA

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Active Living for Rural Youth: Addressing Physical Inactivity in Rural Communities, Anush Yousefian Hansen MS, MA; Erika C. Ziller PhD; Jon Swartz BA; and David Hartley PhD, MHA