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

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2019

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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

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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

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

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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

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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

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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

2018

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Strategies to Combat Opioid Use in Rural Communities, John Gale

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

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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

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Critical Access Hospitals' Community Health Needs Assessments and Implementation Plans: How do they Align?, John A. Gale MS, Zach T. Croll BA, Lauren Zoll MPH, and Andrew F. Coburn PhD

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

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

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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

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

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

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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

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

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Access to Health Care Services for Adults in Maine [Updated Report], Erika Ziller PhD, Barabara Leonard MPH, Amanda Burgess MPPM, and Nathan Paluso MPH

2017

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

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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

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

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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

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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

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

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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

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

2016

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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

Role and Early Impact of CO-OPs in the Rural Health Insurance Marketplace, Zach T. Croll BA

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Comparing the Community Benefit Spending of Critical Access, Other Rural, and Urban Hospitals, John A. Gale MS, Zach T. Croll, Andrew F. Coburn PhD, and Jamar Croom MS

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Pilot testing a Rural Health Clinic quality measurement reporting system, John A. Gale MS; Anush Yousefian Hansen MS,MA; David Hartley PhD, MHA; and Andrew F. Coburn PhD

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Maine Rural Health Profiles: A Statewide View of Rural Health, Sara Kahn-Troster MPH, Amanda Burgess MPPM, Andrew F. Coburn PhD, Ryan Wallace MRP, Zachariah T. Croll BA, and Rachel Gallo MPH

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Understanding the Business Case for Telemental Health in Rural Communities., David Lambert PhD; John A. Gale MS; David Hartley PhD, MHA; Zach T. Croll BA; and Anush Yousefian Hansen MS, MA

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Rural Opioid Abuse: Prevalence and User Characteristics, Jennifer D. Lenardson MHS, John A. Gale MS, and Erika C. Ziller PhD

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Health Information Exchange: A Strategy for Improving Access for Rural Veterans in the Maine Flex Rural Veterans Health Access, Karen B. Pearson MLIS, MA; Amanda Burgess MPPM; John A. Gale MS; Andrew F. Coburn PhD; and Anush Yousefian Hansen MS, MA

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Mental Health First Aid in Rural Communities: Appropriateness and Outcomes, Jean Talbot PhD, Donald Szlosek MPH, and Erika C. Ziller PhD

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Adverse Childhood Experiences in Rural and Urban Contexts, Jean Talbot PhD, MPH; Donald Szlosek MHS; and Erika C. Ziller PhD

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Child Health Quality Improvement in Maine: Practice Survey Report 2011-2014, Martha Elbaum Williamson MPA; Mary Lindsey Smith PhD, MSW; Pamela Ford-Taylor MS; and Kimberley S. Fox MPA

Rural Active Living, Anush Yousefian Hansen MS,MA

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Access to Health Care Services for Adults in Maine [Report], Erika C. Ziller PhD

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Health Insurance CO-OPs: Product Availability and Premiums in Rural Counties, Erika C. Ziller PhD, Zach T. Croll BA, and Andrew F. Coburn PhD

2015

Promoting Quality Improvement in Michigan Rural Health Clinics, C. Barter and John A. Gale MS

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Maine IHOC Master List of Pediatric Measures with Numerators and Denominators, Amy Belisle MD; Michael Ross MD; Stephen DiGiovanni MD; Lisa Letourneau MD; Stephen Meister MD; Nathaniel J. Anderson MS, MPH; Mary Lindsey Smith PhD, MSW; and Kyra Chamberlain MS, RN

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Rural Hospital Strategies for Population Health Improvement, Andrew F. Coburn PhD and John A. Gale MS

Exploring Rural Health Clinic Quality Improvement Strategies, John A. Gale MS

Using FMT Tools to Monitor Community/population Health Performance, John A. Gale MS

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Critical Access Hospital-Relevant Measures for Health System Development and Population Health, John A. Gale MS, Andrew F. Coburn PhD, and Zach T. Croll

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Adoption and Use of Electronic Health Records by Rural Health Clinics: Results of a National Survey [Policy Brief], John A. Gale MS; Zach T. Croll BA; and David Hartley PhD, MHA

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Adoption and Use of Electronic Health Records by Rural Health Clinics: Results of a National Survey [Working Paper], John A. Gale MS; Zach T. Croll BA; and David Hartley PhD, MHA

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Rural Health Clinic Readiness for Patient-Centered Medical Home Recognition: Preparing for the Evolving Healthcare Marketplace [Working Paper], John A. Gale MS; Zach T. Croll BA; and David Hartley PhD, MHA