The Population Health and Health Policy (PHHP) program at the Cutler Institute conducts policy-driven research, evaluation, policy analysis and technical assistance focusing on the public health system and the delivery of healthcare services. Our research is conducted in the areas of healthcare access, quality and financing; public health systems and practice; and rural health.

We focus our work in the following areas:

  • Healthcare Access, Quality, & Financing
  • Public Health Systems & Practice
  • The Maine Public Health Institute
  • Rural Health

Follow


2020

Link

Maternal opioid use disorder at delivery hospitalization in a rural state: Maine, 2009-2018., Sarah M.B. Gabrielson, Jenny L. Carwile, A B. O'Connor, and Katherine Ahrens PhD

Link

Engaging Critical Access Hospitals in Addressing Rural Substance Use, John A. Gale MS; Sara Kahn-Troster MPH; Zachariah T. Croll MPH; and Nathan L. First LCSW, MSW, MA

Link

Addressing Opioid Use in Rural Communities: Examples from Critical Access Hospitals, John Gale MS; Sara Kahn-Troster MPH; Karen Pearson MLIS, MA; and Nathan First LCSW, MSW, MA

Link

Pent-Up Demand for Care among Dual-Eligible Victims of Elder Financial Exploitation in Maine, Yvonne Jonk PhD, Kimberly I. Snow MSHA, Deborah Thayer MBA, Catherine McGuire BS, Stuart Bratesman MPP, Charles A. Smith PhD, and Erika C. Ziller PhD

Link

Rural-Urban Differences in Hospitalizations for Opioid Use-Associated Infective Endocarditis in the United States, 2003-2016., E. Katherine Nenninger, Jenny L. Carwile, Katherine Ahrens PhD, Brett Armstrong, and Kinna Thakarar

Link

Evaluation of Maine's DOC Medication-Assisted Treatment Pilot Program, M. Lindsey Smith PhD, George Shaler MPH, Olivia Dooley MPA, and Evelyn Ali

Link

Virtually possible: using telehealth to bring reproductive health care to women with opioid use disorder in rural Maine, Terri-Ann Thompson, Katherine A. Ahrens PhD, and Leah Coplon

PDF

Health Care Use and Access among Rural and Urban Nonelderly Adult Medicare Beneficiaries, Erika T. Ziller PhD, Amanda Burgess MPPM, and Deborah Thayer

2019

Link

What Is Rural? Challenges and Implications of Definitions that Inadequately Encompass Rural People and Places., Kevin J Bennett PhD; Tyrone F Borders PhD; George M. Holmes PhD; Katy Backes Kozhimannil PhD, MPA; and Erika C. Ziller PhD

Link

Long-Term Services and Supports Use Among Older Medicare Beneficiaries in Rural and Urban Areas, Andrew F. Coburn PhD; Erika C. Ziller PhD; Nathan Paluso MPH; Deborah Thayer; and Jean A. Talbot PhD, MPH

Link

What to Expect with MaineCare Expansion [OpEd], Zach T. Croll BA

Link

Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2017, Zach T. Croll MPH, John A. Gale MS, and Jeremy Zuckero

Link

Health Status and Access to Care among Maine's Low-Income Childless Adults: Implications for State Medicaid Expansion, Zach T. Croll MPH and Erika C. Ziller PhD

PDF

Sociodemographic and Health Status Characteristics of Maine's Newly Eligible Medicaid Beneficiaries [Data Brief], Zach T. Croll MPH, Erika C. Ziller PhD, and Barbara Leonard MPH

Link

Association Between Rurality and Lung Cancer Treatment Characteristics and Timeliness, Kathleen M Fairfield MD, MPH, DrPH; Adam W. Black; F. Lee Lucas PhD; Kimberly Murray MPP; Erika C. Ziller PhD; Neil Korsen MDMS; Leo B. Waterston MA; and Paul K. J. Han MD, MA, MPH

Link

Using Public Cost Information During Low Back Pain Visits: A Qualitative Study., Kimberley S Fox, Carolyn E. Gray, Martha Elbaum Williamson, and Jennifer A. MacKenzie

Link

Implementation of the Flex Program's Innovative Models Program Area: Final Evaluation Report, John A. Gale MS, Sara Kahn-Troster MPH, and Andrew F. Coburn PhD

PDF

Rural Health Clinic Costs and Medicare Reimbursement, John Gale, Zachariah T. Croll, and Andrew F. Coburn

Link

Behavioral Health in Rural America: Challenges and Opportunities [EXECUTIVE SUMMARY], John Gale MS; Jaclyn Janis BSN, RN; and Andrew F. Coburn PhD

Link

Behavioral Health in Rural America: Challenges and Opportunities, John Gale MS; Jaclyn Janis BSN, RN, MPH; Andrew F. Coburn PhD; and Hanna Rochford MPH

Link

Using Local Data on Adults Aged 18 to 64 to Tailor Interventions for Blood Pressure Medication Adherence in Maine., Caitlin Pizzonia MPH, CPH; David Pied; Sara L Huston PhD; Pamela Foster Albert; Gregory Parent; and Nathan Morse

PDF

The Health Care Costs of Financial Exploitation in Maine, Kimberly I. Snow MHSA, BA; Yvonne Jonk PhD; Deborah Thayer MBA; Catherine McGuire BS; Stuart Bratesman MPP; Charles A. Smith PhD; and Erika C. Ziller PhD

Link

Advancing Tobacco Prevention and Control in Rural America, Jean A. Talbot PhD, MPH; Martha Elbaum Williamson MPA; Karen B. Pearson MLIS, MA; Jennifer Lenardson MHS; Erika C. Ziller PhD; Frances Jimenez; Nathan Paluso MPH; Louisa Munk; Jaclyn Janis BSN, RN; and Paula F. Clayton MS, RDN, LD

Link

Advancing Tobacco Prevention and Control in Rural America: Executive Summary, Jean A. Talbot PhD, MPH; Martha Elbaum Williamson MPA; Karen B. Pearson MLIS, MA; Jennifer Lenardson MHS; Erika C. Ziller PhD; Frances Jimenez; Nathan Paluso MPH; Louisa Munk; Jaclyn Janis BSN, RN; and Paula F. Clayton MS, RDN, LD

Link

Growing Up Rural [Podcast], Erika C. Ziller PhD and Yvonne Jonk PhD

Link

How Did We Get Here? Rural Health Challenges in America [Podcast], Erika C. Ziller PhD and Yvonne Jonk PhD

Link

Rural Health in Maine and America vs. the World, Erika C. Ziller PhD and Yvonne Jonk PhD

Link

Rural-Urban Differences in the Decline of Adolescent Cigarette Smoking., Erika C. Ziller PhD; Jennifer D. Lenardson MHS; Nathan C Paluso MPH; Jean A. Talbot PhD, MPH; and Angela Daley PhD

PDF

Preventive Health Service Use among Rural Women, Erika T. Ziller PhD; Jennifer Lenardson MHS; Nathan Paluso MPH; and Jaclyn Janis BSN, RN

2018

PDF

Strategies to Combat Opioid Use in Rural Communities, John Gale

PDF

The Role of Rural Hospitals in Addressing Opioid and Other Substance Use Problems, John A. Gale

PDF

Rural Health Clinic Participation in the Merit-Based Incentive System and Other Quality Reporting Initiatives: Challenges and Opportunities, John A. Gale MS, Zach T. Croll BA, and Andrew F. Coburn PhD

Link

CAHs' Community Health Needs Assessments and Implementation Plans: How Do They Align? (FMT Briefing Paper #39), John A. Gale MS, Zach T. Croll BA, Lauren Zoll MPH, and Andrew F. Coburn PhD

Link

An Interim Evaluation Report of the Innovative Projects Portfolio of the Flex Program (FMT Briefing Paper #37), Sara Kahn-Troster MPH; John A. Gale MS; Anush Yousefian Hansen MS,MA; and Andrew F. Coburn PhD

PDF

Residential Settings and Healthcare Use of the Rural "Oldest-Old" Medicare Population, Nathan Paluso MPH; Zach T. Croll BA; Deborah Thayer MBA; Jean A. Talbot PhD, MPH; and Andrew F. Coburn PhD

Link

Patterns of Telehealth Use Among Rural Medicaid Beneficiaries, Jean A. Talbot PhD, MPH; Amanda Burgess MPPM; Deborah Thayer; Lily Parenteau; Nathan Paluso MPH; and Andrew F. Coburn PhD

Link

Low-Income, Uninsured Mainers Face Substantial Challenges Getting Health Care, Erika C. Ziller PhD, Amanda R. Burgess MPPM, and Barbara Leonard MPH

Link

Health Equity Challenges in Rural America, Erika C. Ziller PhD and Andrew F. Coburn PhD

PDF

Access to Health Care Services for Adults in Maine [Policy Brief], Erika C. Ziller PhD, Barbara Leonard MPH, Amanda Burgess MPPM, and Nathan Paluso MPH

PDF

Medicaid Income Eligibility Transitions Among Rural Adults, Erika C, Ziller PhD; Deborah Thayer; and Jennifer D. Lenardson

2017

PDF

After Closure: Options for Pursuing a High Performance Rural Health System, Andrew F. Coburn PhD

Link

Rural Long-Term Services and Supports: A Primer, Andrew F. Coburn PhD; Jennifer P. Lundblad PhD, MBA; Erin M. Mobley MPH; and RUPRI Health Panel

PDF

Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Settings, John A. Gale MS

PDF

Rural Opioid Prevention and Treatment Strategies: The Experience in Four States [Policy Brief], John A. Gale MS; Anush Hansen MS,MA; and Martha Elbaum Williamson MPA

PDF

Rural Opioid Prevention and Treatment Strategies: The Experience in Four States [Working Paper], John A. Gale MS; Anush Hansen MS,MA; and Martha Elbaum Williamson MPA

Catastrophic Consequences: The Link Between Rural Opioid Use and HIV/AIDS, Jennifer Lenardson MHS and Mary Lindsey Smith PhD, MSW

Link

Time-Varying Effects of Parental Alcoholism on Depression., Sunita Thapa, Arielle S Selya, and Yvonne Jonk

PDF

The Role of Public versus Private Health Insurance in Ensuring Health Care Access & Affordability for Low-Income Rural Children, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Amanda Burgess MPPM

PDF

Mental Health Status and Access to Health Care Services for Adults in Maine, Erika C. Ziller PhD and Barbara Leonard MPH

2016

PDF

Are Rural Older Adults Benefitting from Increased State Spending on Medicaid Home and Community-Based Services?, Andrew F. Coburn PhD, Eileen Griffin JD, Deborah Thayer MBA, and Zach T. Croll BA