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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2009

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Private health insurance in rural areas: Challenges and opportunities, Erika C. Ziller PhD and Andrew F. Coburn PhD

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Rural coverage gaps decline following public health insurance expansions, Erika C. Ziller PhD and Andrew F. Coburn PhD

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Rural-urban differences in health care access vary across measures, Erika C. Ziller PhD and Jennifer D. Lenardson MHS

2008

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The Underinsured in Rural America: The Root of the Problem and Possible Solutions, Andrew F. Coburn PhD and Erika C. Ziller PhD

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Employment of Advanced-practice Psychiatric Nurses to Stem Rural Mental Health Workforce Shortages, Nancy P. Hanrahan PhD, RN and David Hartley PhD, MHA

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Substance abuse by youth and young adults in rural America, David Lambert PhD; John A. Gale MS; and David Hartley PhD, MHA

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Use of mental health services by rural children, David Lambert PhD, Erika C. Ziller PhD, and Jennifer D. Lenardson MHS

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Distribution of Substance Abuse Treatment Facilities Across the Rural-Urban Continuum [Policy Brief], Jennifer D. Lenardson MHS and John A. Gale MS

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Rural-urban Differences in Work Patterns Among Adults with Depressive Symptoms, Lisa Morris PhD; Stephenie Loux MS; Erika C. Ziller PhD; and David Hartley PhD, MHA

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Uninsured Rural Families, Erika C. Ziller PhD; Andrew F. Coburn PhD; Nathaniel J. Anderson MS, MPH; and Stephanie L. Loux MS

2007

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Choosing Rural Definitions: Implications for Health Policy, Andrew F. Coburn PhD; A. Clinton MacKinney MD, MS; Timothy D. McBride PhD; Keith J. Mueller PhD; Rebecca T. Slifkin PhD; and Mary K. Wakefield PhD, RN

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The Community Impact of Critical Access Hospitals, John A. Gale MS; Andrew F. Coburn PhD; Victoria Freeman DrPH; Walter R. Gregg MA, MPH; and Rebecca T. Slifkin PhD

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Distribution of Substance Abuse Treatment Facilities Across the Rural-Urban Continuum [Working Paper], John A. Gale MS and Jennifer D. Lenardson MHS

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Substance abuse among rural youth: A little meth and a lot of booze, David Hartley PhD, MHA

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Use of Critical Access Hospital Emergency Rooms by Patients with Mental Health Symptoms, David Hartley PhD, MHA; Erika C. Ziller PhD; Stephenie L. Loux MS; John A. Gale MS; David Lambert PhD; and Anush E. Yousefian Hansen MS, MA

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Maine's Rural Health Challenges, Jennifer D. Lenardson MHS and David Hartley PhD, MHA

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Rural Families More Likely to be Uninsured and Have Different Sources of Coverage, Erika C. Ziller PhD; Andrew F. Coburn PhD; Nathaniel J. Anderson MS, MPH; and Stephanie L. Loux MS

2006

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Rural and Frontier Mental and Behavioral Health Care: Barriers, Effective Policy Stategies, Best Practices, Donald Sawyer PhD, MBA; John A. Gale MS; and David Lambert PhD

2005

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Mental Health Encounters in Critical Access Hospital Emergency Rooms: A National Survey, David Hartley PhD, MHA; John A. Gale MS; Erika C. Ziller PhD; Stephenie L. Loux MS; and Anush E. Yousefian Hansen MS, MA

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Scope of services offered by Critical Access Hospitals: Results of the 2004 National CAH survey, David Hartley PhD, MHA and Stephenie L. Loux MS

2004

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Are Advanced Practice Psychiatric Nurses a Solution to Rural Mental Health Workforce Shortages?, David Hartley PhD, MHA; Valerie Hart PhD, MSN; Nancy P. Hanrahan PhD, RN; and Stephenie L. Loux MS

2002

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Patterns of health insurance coverage among rural and urban children, Andrew F. Coburn PhD, Timothy D. McBride PhD, and Erika C. Ziller PhD