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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2009

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A Rural Perspective/Commentary Regarding (Description of Policy Options) "Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans", Senate Finance Committee, May 14, 2009, Keith J. Mueller PhD; Andrew F. Coburn PhD; A. Clinton MacKinney MD,MS; Timothy D. McBride PhD; and Rebecca T. Slifkin PhD

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The 2009 Report to the Secretary: Rural Health and Human Services Issues, National Advisory Committee on Rural Health and Human Services

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Hard Times in the Heartland: Health Care in Rural America, Meena Seshamani MD, PhD; Joan Van Nostrand PhD; Jenna Kennedy BA; and Carrie Cochran MPA

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Remote Possibilities: The Struggle for Small, Rural Business Owners to Provide Coverage for Their Employees is Daunting, Erika C. Ziller PhD

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Private health insurance in rural areas: Challenges and opportunities, Erika C. Ziller PhD and Andrew F. Coburn PhD

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Rural coverage gaps decline following public health insurance expansions, Erika C. Ziller PhD and Andrew F. Coburn PhD

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Rural-urban differences in health care access vary across measures, Erika C. Ziller PhD and Jennifer D. Lenardson MHS

2008

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Implementing a New USDA Rural Development Program Targeting Small Rural Hospitals and Their Communities, Andrew F. Coburn PhD; A. Clinton MacKinney MD,MS; Timothy D. McBride PhD; Keith J. Mueller PhD; Rebecca T. Slifkin PhD; and Mary Wakefield PhD, RN

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Rural Policy Research Institute Health Panel Response to CMS' Report to Congress: Plan to Implement a Medicare Hospital Value-based Purchasing Program, Andrew F. Coburn PhD; A. Clinton MacKinney MD,MS; Timothy D. McBride PhD; Keith J. Mueller PhD; Rebecca T. Slifkin PhD; and Mary Wakefield PhD, RN

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The Underinsured in Rural America: The Root of the Problem and Possible Solutions, Andrew F. Coburn PhD and Erika C. Ziller PhD

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Healthy IDEAS for Caregivers of People with Dementia in Maine: Evaluation Report, Julie T. Fralich MBA; Stuart Bratesman MPP; Mark Richards BS; and Susan M.C. Payne PhD, MPH

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Maine Barriers to Integration Study: Environmental Scan, John A. Gale MS and David Lambert PhD

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Developing Indicators to Document the Community Impact of CAHs (Policy Brief #7), John A. Gale MS, Jennifer D. Lenardson MHS, Andrew F. Coburn PhD, and Melanie M. Race MS

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Employment of Advanced-practice Psychiatric Nurses to Stem Rural Mental Health Workforce Shortages, Nancy P. Hanrahan PhD, RN and David Hartley PhD, MHA

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Myocardial infarction and heart failure hospitalization rates in Maine, USA - variability along the urban-rural continuum, David E. Harris, Aboueissa AbouEl-Makarim, and David Hartley

Lessons from a Project to Create Performance Measures for Public Health, Teresa A. Hubley

Early Detection and Intervention for the Prevention of Psychosis. Outreach Evaluation Report: Year 1 Annual Report, Brenda M. Joly PhD, MPH; Martha Elbaum-Williamson MPA; and Prashant Mittal MS, MSc

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Substance abuse by youth and young adults in rural America, David Lambert PhD; John A. Gale MS; and David Hartley PhD, MHA

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Use of mental health services by rural children, David Lambert PhD, Erika C. Ziller PhD, and Jennifer D. Lenardson MHS

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Distribution of Substance Abuse Treatment Facilities Across the Rural-Urban Continuum [Policy Brief], Jennifer D. Lenardson MHS and John A. Gale MS

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The Community Benefit and Impact of CAHs: Results of the 2007 CAH Survey (Briefing Paper #19), Stephanie L. Loux MS, Andrew F. Coburn PhD, John A. Gale, and Jennifer D. Lenardson MHS

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The Community Benefit and Impact of CAHs: the Results of the 2007 CAH Survey (Policy Brief #6), Stephanie L. Loux MS, Andrew F. Coburn PhD, John A. Gale MS, and Jennifer D. Lenardson MHS

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Bridging Health Research and Policy: Effective Dissemination Strategies, Timothy McBride PhD; Andrew F. Coburn PhD; A. Clinton Mackinney MD,MS; Keith J. Mueller PhD; Rebecca T. Slifkin PhD; and Mary Wakefield PhD, RN

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Rural-urban Differences in Work Patterns Among Adults with Depressive Symptoms, Lisa Morris PhD; Stephenie L. Loux MS; Erika C. Ziller PhD; and David Hartley PhD, MHA

Episode-based Physician Profiling: A Guide to the Perplexing, Lewis G. Sandy MD, Mark C. Rattray MD, and J. William Thomas PhD

The Difference Between Physical Activity and Nutrition Attitudes and Behaviors Among Maine High School Students, Alfred M. Sheehy and Jigna Dharod

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Children Served by MaineCare, 2007: Survey Findings, Deborah Thayer MBA and Nathaniel J. Anderson MS, MPH

Plain Language Thesaurus for Health Communications, J R.C. Tupper

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Strategies for Improving Patient Safety in Small Rural Hospitals, Judith B. Tupper DHEd, CHES, CPPS; Andrew F. Coburn PhD; Stephanie Loux MS; Ira S. Moscovice PhD; Jill Klingner PhD; and Mary Wakefield PhD, RN

Reduced Availability of Sugar-sweetened Beverages and Diet Soda has a Limited Impact on Beverage Consumption Patterns in Maine High School Youth, Janet E. Whatley Blum ScD; Anne-Marie Davee MS, RD; Christina M. Beaudoin PhD; Paul L. Jenkins PhD; Lori A. Kaley MS, MSB; and Debra A. Wigand MEd, CHES

Rural Adults Face "parity" Problems and Other Barriers to Appropriate Medical Care, Erika C. Ziller PhD; Nathaniel J. Anderson MS, MPH; and Andrew F. Coburn PhD

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Uninsured Rural Families, Erika C. Ziller PhD; Andrew F. Coburn PhD; Nathaniel J. Anderson MS, MPH; and Stephanie L. Loux MS

2007

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Lessons Learned from the Multistate Learning Collaborative, Russell A. Brewer DrPH; Brenda M. Joly PhD, MPH; Marlene Mason BSN, MBA; Debra Tews MA; and Lee Thielen MPA

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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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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

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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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Distribution of Substance Abuse Treatment Facilities Across the Rural-Urban Continuum [Working Paper], John A. Gale MS and Jennifer D. Lenardson MHS

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Substance abuse among rural youth: A little meth and a lot of booze, David Hartley PhD, MHA

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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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Evaluating a Health Education Project in Maine, Teresa A. Hubley and MaryAnn Amrich

Linking Accreditation and Public Health Outcomes: a Logic Model Approach, Brenda M. Joly PhD, MPH; Georgeen Polyak PhD; Mary V. Davis DrPH, MSPH; Joan Brewster MPA; Beverly Tremain PhD; Cathy Raevsky BA; and Leslie M. Beitsch MD, JD

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

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Developing a Performance-based Incentive Program for Hospitals: A Case Study from Maine, Gino A. Nalli, Dennis Patrick Scanlon, and Douglas Libby

A Rural Perspective on Health Care for the Whole Person, Beth Hundall Stamm PhD, David Lambert PhD, Neil F. Piland DrPH, and Nancy Speck PhD

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What We Know and Do Not Know About Tiered Provider Networks, J. William Thomas PhD, Gino A. Nalli, and Andrew F. Coburn PhD

Evaluation as a Critical Factor of Success in Local Public Health Accreditation Programs, Beverly Tremain PhD; Mary V. Davis DrPH, MSPH; Brenda M. Joly PhD, MPH; Mark Edgar PhD; Mary L. Kushion MSA; and Rita Schmidt MPH

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Barriers to Medicare Hospice Utilization: A Qualitative Study of Maine's Medicare Hospice Providers, Judith B. Tupper DHEd, CHES, CPPS

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Establishing the Acquired Brain Injury Trust Fund in Maine: Background Information, Experiences in Other States, and The Needs of Maine Individuals and Their Families, Judith B. Tupper DHEd, CHES, CPPS

Implementation of Low-fat, Low-sugar, and Portion-controlled Nutrition Guidelines in Competitive Food Venues of Maine Public High Schools., Janet E. Whatley Blum ScD; Anne-Marie Davee MS, RD; Rachel L. Devore BS; Christina M. Beaudoin PhD; Paul L. Jenkins PhD; Lori A. Kaley MS, MSB; and Debra A. Wigand MEd, CHES

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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