All Maine Rural Health Research Center Publications | Maine Rural Health Research Center (MRHRC) | University of Southern Maine

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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.

2007 2007

Substance Abuse Among Rural Youth: A little meth and a lot of booze, David Hartley PhD, MHA

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

The Community Impact of CAHs (Policy Brief #2), John A. Gale MS; Andrew F. Coburn PhD; Victoria Freeman DrPH; Walter Gregg MA, MPH; and Rebecca Slifkin PhD

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 Yousefian Hansen MS, MA

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

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

Exploring the Community Impact of CAHs (Briefing Paper #14), John A. Gale MS; Andrew F. Coburn PhD; Victoria Freeman DrPH; Walter Gregg MA, MPH; and Rebecca Slifkin PhD

2006 2006

Quality and Performance Improvement Grant Activities Under the Flex Program (Briefing Paper #12), Jennifer D. Lenardson MHS and John A. Gale MS

Rural Residents More Likely to Be Underinsured, Erika Ziller, Andrew Coburn, and Anush Yousefian

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 2005

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

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 Yousefian Hansen MS, MA

2004 2004

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

2003 2003

Health Insurance Coverage of the Rural and Urban Near Elderly, Erika Ziller and Andrew Coburn

2002 2002

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

2001 2001

A Review of State Flex Program Plans 2004-2005 (Briefing Paper #10), Stephanie L. Loux MS; John A. Gale MS; Anush Yousefian Hansen MS,MA; Andrew F. Coburn PhD; and Walter Gregg MA, MPH

2000 2000

Models for Integrating and Managing Acute and Long-term Care Services in Rural Areas [Working Paper], Andrew F. Coburn PhD

1998 1998

Employer-based Health Insurance Coverage of Workers: Are Rural Firms and Workers Different?, Andrew F. Coburn and Elizabeth Kilbreth

1995 1995

Does the Quality of Rural and Urban Nursing Homes Differ?, Andrew F. Coburn, Julie T. Fralich MBA, Catherine McGuire BS, and Richard Fortlinsky PhD

1994 1994

Small and Rural: The Double Jeopardy in Expanding Employer-Based Health Insurance Coverage, Elizabeth Kilbreth, Andrew F. Coburn, and Marc Agger

Health Insurance Coverage Among Small Rural and Urban Businesses, Elizabeth Kilbreth, Andrew F. Coburn, and Marc Agger