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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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

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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

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

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Advancing Tobacco Prevention and Control in Rural America, Jean A. Talbot PhD; Martha Elbaum Williamson MPA; Karen B. Pearson MLIS, MA; Jennifer D. 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; Martha Elbaum Williamson MPA; Karen B. Pearson MLIS, MA; Jennifer D. 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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Growing Up Rural [Podcast], Erika C. Ziller PhD and Yvonne Jonk PhD

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

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

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

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

2018

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Strategies to Combat Opioid Use in Rural Communities, John A. Gale MS

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

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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, Zachariah T. Croll MPH, and Andrew F. Coburn PhD

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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

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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

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Residential Settings and Healthcare Use of the Rural "Oldest-Old" Medicare Population, Nathan Paluso MPH; Zachariah T. Croll MPH; 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, Amanda Burgess MPPM, Deborah Thayer MBA, 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 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 MHS

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 [Working Paper], 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 [Policy Brief], John A. Gale MS; Anush Yousefian 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 PhD

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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, Zachariah T. Croll MPH, and Erika C. Ziller PhD

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

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Community Impact and Benefit Activities of CAHs, Other Rural, and Urban Hospitals, 2014, Zach T. Croll MPH, Lauren Zoll MPH, John A. Gale MPH, and Andrew F. Coburn PhD

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Comparing the Community Benefit Spending of CAHs, Other Rural, and Urban Hospitals (FMT Policy Brief #45), 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 M. 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; Zachariah 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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Adverse Childhood Experiences in Rural and Urban Contexts, Jean A. Talbot PhD, Donald Szlosek MPH, and Erika C. Ziller PhD

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Mental Health First Aid in Rural Communities: Appropriateness and Outcomes, Jean A. Talbot PhD, Donald Szlosek MPH, 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, Zachariah 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