All Maine Rural Health Research Center Publications | Maine Rural Health Research Center (MRHRC)

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

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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

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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

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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 Yousefian Hansen MS, MA

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

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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

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

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

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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 2005

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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

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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 Yousefian Hansen MS, MA

2004 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

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