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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2010

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Designating Health Professional Shortage Areas and Medically Underserved Populations/Medically Underserved Areas: A Primer on Basic Issues to Resolve, Andrew F. Coburn PhD; Jennifer P. Lundblad PhD, MBA; A. Clinton MacKinney MD,MS; Timothy D. McBride PhD; and Keith J. Mueller PhD

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Improving Health Outcomes for Children (IHOC) in Maine Logic Model for Primary Care Practice Improvement, Cutler Institute of Health and Social Policy

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Child Hunger: Its Prevalence and Association with Body Mass Index and Dietary Intake Among Somali Refugee Children in the United States, Jigna M. Dharod and Jamar Croom MS

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Happy, Healthy and Well Project Report: May 1, 2009 - August 2010, Nadine Edris MSW, Kate Corbett, Madeleine Martin, Chris G. Sady, and Allison Vercoe

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Rural America: A look beyond the images, John A. Gale MS

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Encouraging Rural Health Clinics to Provide Mental Health Services: What are the options?, John A. Gale MS; Stephanie L. Loux MS; Barbara Shaw JD; and David Hartley PhD, MHA

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The Provision of Mental Health Services by Rural Health Clinics, John A. Gale MS; Stephanie L. Loux MS; Barbara Shaw JD; and David Hartley PhD, MHA

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Monitoring the Community Benefits of CAHs: A Review of the Data (Briefing Paper #24), John A. Gale MS, Melanie M. Race MS, and Andrew F. Coburn PhD

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Are Rural Health Clinics Part of the Rural Safety Net?, David Hartley PhD, MHA; John A. Gale MS; Al Leighton BA; and Stuart Bratesman MPP

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Safety Net Activities of Independent Rural Health Clinics, David Hartley PhD, MHA; John A. Gale MS; Al Leighton BA; and Stuart Bratesman MPP

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Characteristics of Inpatient Psychiatric Units in Small Rural Hospitals, David Hartley PhD, MHA; Stephanie L. Loux MS; David Lambert PhD; John A. Gale MS; and Anush Yousefian Hansen MS, MA

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Early Detection and Intervention for the Prevention of Psychosis: Outreach Evaluation Report Year 3, Brenda M. Joly PhD

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Evaluating the Multi-State Learning Collaborative, Brenda Joly; George Shaler MPH; Maureen Booth MRP, MA; Ann Conway PhD; and Prashant Mittal MS, MSc

Paying by the Rules: How Eliminating the Cost Shift Could Improve the Chances for Successful Health Care Reform, Elizabeth Kilbreth PhD

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Analysis of Emergency Department Use In Maine: A Study Conducted on Behalf of the Emergency Department Use Work Group of the Maine Advisory Council on Health System Development, Elizabeth Kilbreth PhD, Barbara Shaw, Danny Westcott, and Carolyn E. Gray MPH

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Access to Mental Health Services and Family Impact of Rural Children with Mental Health Problems, Jennifer D. Lenardson MHS; Erika C. Ziller PhD; David Lambert PhD; Melanie M. Race MS; and Anush Yousefian Hansen MS, MA

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Mental Health Problems Have Considerable Impact on Rural Children and Their Families, Jennifer D. Lenardson MHS; Erika C. Ziller PhD; David Lambert PhD; Melanie Race MS; and Anush Yousefian Hansen MS, MA

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Cost Profiles in Health Care: Should the Focus be on Individual Physicians or Physician Groups?, Ateev Mehrotra MD, MPH; John L. Adams PhD; J. William Thomas PhD; and Elizabeth A. McGlynn PhD

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The Effect of Different Attribution Rules on Individual Physician Cost Profiles, Ateev Mehrotra MD, MPH; John L. Adams PhD; J. William Thomas PhD; and Elizabeth A. McGlynn PhD

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Community Benefit Activities of CAHs, Non-Metropolitan Hospitals, and Metropolitan Hospitals, 2007, Melanie Race MS, John A. Gale MS, and Andrew F. Coburn PhD

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State Initiatives Funded by the Medicare Rural Hospital Flexibility Grant Program (Policy Brief #3), Melanie Race MS, John A. Gale MS, and Andrew F. Coburn PhD

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Monitoring the Community Benefits of CAHs: A Review of the Data (Policy Brief #13), Melanie M. Race MS, John Gale MS, and Andrew F. Coburn PhD

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Mental Health Services in Rural Jails [Policy Brief], Melanie M. Race MS; Anush Yousefian Hansen MS,MA; David Lambert PhD; and David Hartley PhD, MHA

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Mental Health Services in Rural Jails [Working Paper], Melanie M. Race MS; Anush Yousefian Hansen MS,MA; David Lambert PhD; and David Hartley PhD, MHA

Guiding Stars: The Effect of a Nutrition Navigation Program on Consumer Purchases at the Supermarket, Lisa A. Sutherland; Lori A. Kaley MS, MSB; and Leslie Fischer

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The Cost of Defensive Medicine in the United States, J. William Thomas PhD, Erika C. Ziller PhD, and Deborah Thayer MBA

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Low Costs of Defensive Medicine, Small Savings from Tort Reform, J. William Thomas PhD, Erika C. Ziller PhD, and Deborah A. Thayer MBA

Improving Hospital Patient Safety Culture Through Teamwork, Judith B. Tupper DHEd, CHES, CPPS

Maine Critical Access Hospital Patient Safety Collaborative, Judith B. Tupper DHEd, CHES, CPPS

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Racial, socioeconomic, and rural-urban disparities in obesity-related bariatric surgery, Amy E. Wallace, Yinong Young-Xu, David Hartley PhD, and William B. Weeks

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Access to rural mental health services: Service use and out-of-pocket costs, Erika C. Ziller PhD; Nathaniel J. Anderson MS, MPH; and Andrew F. Coburn PhD

2009

State Financing for Health Coverage Initiatives, Courtney Burke and Kimberley S. Fox MPA

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Assuring Health Coverage for Rural People Through Health Reform, Andrew F. Coburn PhD; A. Clinton MacKinney MD,MS; Timothy D. McBride PhD; and Keith J. Mueller PhD

Communicating Rural Research to Policy: An Evaluation of the Rural Research to Diverse Audiences Project, Andrew F. Coburn PhD and Patricia Moulton PhD

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Expanding Rural Elder Care Options: Models That Work, Peter Fitzgerald MSc, Andrew F. Coburn PhD, and Sharon K. Dwyer MS

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Comparison of Primary Care Received by New Hampshire Medicaid Members at Different Practice Settings, 2006, Kimberley S. Fox MPA

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Maine Barriers to Integration Study: The view from Maine on the barriers to integrated care and recommendations for moving forward, John A. Gale MS and David Lambert PhD

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Policy Issues Affecting Maine’s Hospitals, John A. Gale MS and Jennifer D. Lenardson MHS

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A community benefit reporting toolkit for critical access hospitals, John A. Gale MS and Melanie Race MS

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Analysis of 2006 Maine Emergency Department Use: A Study Conducted on Behalf of the Emergency Department Use Work Group of the Maine Advisory Council on Health System Development, Carolyn E. Gray MPH, Catherine McGuire BS, Beth Kilbreth, and Tamar Chitashvili

Rural Health Clinics, Health Reform, and the Safety Net: Capacity and Roles May Vary by State, David Hartley PhD, MHA and John A. Gale MS

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Rural Active Living Assessment (RALA) Toolkit: Codebook and Assessement Tools, David Hartley PhD, MHA; Anush Yousefian Hansen MS,MA; M. Renee Umstattd Meyer; Jeffrey S. Hallam; Christina Economos PhD; Raymond Hyatt PhD; and Erin Hennessy MPH

Using Maps to Assess Food Access in Rural Maine, Teresa A. Hubley

Early Detection and Intervention for the Prevention of Psychosis: Outreach Evaluation Report: Year 2 Annual Report, Brenda M. Joly PhD, MPH; Martha Elbaum-Williamson MPA; Prashant Mittal MS, MSc; and Jennifer Pratt

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Implementing Patient Safety Initiatives in Rural Hospitals, Jill Klingner RN, PhD; Ira Moscovice PhD; Judith B. Tupper DHEd, CHES, CPPS; and Andrew F. Coburn PhD

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Mental Health and Substance Abuse in Maine: Building a community-based system, David Lambert PhD and John A. Gale MS

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Rural children don't receive the mental health care they need, David Lambert PhD, Erika C. Ziller PhD, and Jennifer D. Lenardson MHS

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Availability, Characteristics, and Role of Detoxification Services in Rural Areas, Jennifer D. Lenardson MHS, Melanie M. Race MS, and John A. Gale MS

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Profile of rural health insurance coverage: A chartbook, Jennifer D. Lenardson MHS, Erika C. Ziller PhD, and Andrew F. Coburn PhD

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Health Insurance Profile Indicates Need to Expand Coverage in Rural Areas, Jennifer D. Lenardson MHS; Erika C. Ziller PhD; Andrew F. Coburn PhD; and Nathaniel J. Anderson MS, MPH