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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2007

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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

2006

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Community Partnerships for Older Adults: Meeting the Housing Challenge, Elise Bolda PhD

Governance and Management Structures for Community Partnerships: Experiences from the Robert Wood Johnson Foundation's Community Partnerships for Older Adults Program, Elise Bolda PhD, Paul Saucier MA, George L. Maddox PhD, Terrie Wetle PhD, and Jane I. Lowe

Prioritizing Patient Safety Interventions in Small and Rural Hospitals., Michelle M. Casey; Mary Wakefield PhD, RN; Andrew F. Coburn PhD; Ira S. Moscovice PhD; and Stephenie Loux MS

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Creating Progam Logic Models: A Toolkit for State Flex Programs, John A. Gale MS, Andrew F. Coburn PhD, and Stephanie Loux MS

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Mental Health Care in Rural Communities: The Once and Future Role of Primary Care, John A. Gale MS and David Lambert PhD

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Use of National Public Health Performance Standards to Assess Maine's Diabetes System., Brenda M. Joly PhD, MPH; Karen O'Rourke MPH; Hugh H. Tilson DrPH; and James F. Leonard MSW

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Applications of Methodologies of the Veterans Health Study in the VA Healthcare System: Conclusions and Summary, Lewis E. Kazis ScD; Donald R. Miller ScD; Katherine M. Skinner PhD; Austin Lee PhD; Xinhua S. Ren PhD; Jack A. Clark PhD; William H. Rogers PhD; Avron Sprio PhD; Alfredo Selim MD; Mark Linzer MD; Susan M.C. Payne PhD, MPH; Dorcas Mansell MD, MPH; and B. Graeme Fincke

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Quality and Performance Improvement Grant Activities Under the Flex Program (Briefing Paper #12), Jennifer D. Lenardson MHS and John A. Gale MS

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Emergency Medical Services (EMS) Activities Funded by the Medicare Rural Hospital Flexibility Program, P.D. Patterson; John A. Gale MS; Stephanie L. Loux MS; Anush Yousefian Hansen MS,MA; and Rebecca T. Slifkin PhD

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Rural and Frontier Mental and Behavioral Health Care: Barriers, Effective Policy Stategies, Best Practices, Donald Sawyer PhD, MBA; John A. Gale MS; and David Lambert PhD

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Economic Profiling of Physicians: Does Omission of Pharmacy Claims Bias Performance Measurement?, J. William Thomas PhD

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Should Episode-based Economic Profiles be Risk Adjusted to Account for Differences in Patients' Health Risks?, J. William Thomas PhD

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Economic Profiling of Physician Specialists: Use of Outlier Treatment and Episode Attribution Rules, J. William Thomas PhD and Kathleen Ward MPA

Pain Management at the End of Life, Judith B. Tupper DHEd, CHES, CPPS

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Out-Of-Pocket Health Spending And The Rural Underinsured, Erika C. Ziller PhD; Andrew F. Coburn PhD; and Anush Yousefian Hansen MS,MA

2005

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The Vending and à La Carte Policy Intervention in Maine Public High Schools, Anne-Marie Davee MS, RD; Janet E. Whatley Blum ScD; Rachel L. Devore BS; Christina M. Beaudoin PhD; Lori A. Kaley MS, MSB; Janet L. Leiter MS, RD; and Debra A. Wigand MEd, CHES

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Rural Health Research: Building Capacity and Influencing Policy in the United States and Canada, David Hartley PhD, MHA

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Mental Health Encounters in Critical Access Hospital Emergency Rooms: A National Survey, David Hartley PhD, MHA; John A. Gale MS; Erika C. Ziller PhD; Stephenie L. Loux MS; and Anush Yousefian Hansen MS, MA

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Scope of services offered by Critical Access Hospitals: Results of the 2004 National CAH survey, David Hartley PhD, MHA and Stephenie L. Loux MS

Preliminary Validation of a Patient-based Self-assessment Measure of Severity of Illness in Type 2 Diabetes: Results from the Pilot Phase of the Veterans Health Study., Mark Linzer MD, Catherine Pierce MD, Elizabeth Lincoln MPH, Donald R. Miller ScD, Susan M.C. Payne, Jack A. Clark PhD, Katherine M. Skinner PhD, Sheldon Greenfield, Sherrie Kaplan, Colleen A McHorney, Austin Lee PhD, and Lewis E Kazis ScD

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Comparing Patient Safety in Rural Hospitals by Bed Count, Stephenie Loux MS; Susan M.C. Payne PhD, MPH; and Astrid Knott PhD

Understanding the Impacts of the Medicare Modernization Act: Concerns of Congressional Staff, Keith J. Mueller PhD; Andrew F. Coburn PhD; A. Clinton MacKinney MD,MS; Timothy D. McBride PhD; Rebecca T. Slifkin PhD; and Mary K. Wakefield PhD, RN

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Train-the-trainer as an Educational Model in Public Health Preparedness., Rebecca A. Orfaly MS; Joshua C. Frances; Paul Campbell ScD, MPA; Becky Whittemore MN, MPH, FNP-C; Brenda M. Joly PhD, MPH; and Howard Koh MD, MPH

Utilization of Medical Services by Veterans Health Study (VHS) Respondents., Susan M.C. Payne PhD, MPH; Austin Lee PhD; Jack A. Clark PhD; William H. Rogers PhD; Donald R. Miller ScD; Katherine M. Skinner PhD; Xinhua S. Ren PhD; and Lewis E. Kazis ScD

Mainenet, Judith B. Tupper DHEd, CHES, CPPS and Stuart Bratesman MPP

2004

Assuring Rural Hospital Patient Safety: What Should be the Priorities?, Andrew F. Coburn PhD; Mary Wakefield PhD, RN; Michelle Casey; Ira S. Moscovice PhD; Susan M.C. Payne PhD, MPH; and Stephenie L. Loux MS

Managing Program Costs in State Pharmacy Assistance Programs, Kimberley S. Fox MPA; Thomas E. Trail MS; Susan C. Reinhard PhD, RN; and Stephen Crystal PhD

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Rural Health Disparities, Population Health, and Rural Culture, David Hartley PhD, MHA

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Are Advanced Practice Psychiatric Nurses a Solution to Rural Mental Health Workforce Shortages?, David Hartley PhD, MHA; Valerie Hart PhD, MSN; Nancy P. Hanrahan PhD, RN; and Stephenie L. Loux MS

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Community Rating and Sustainable Individual Health Insurance Markets in New Jersey, Alan C. Monheit, Joel C. Cantor, Margaret Koller, and Kimberley S. Fox MPA

Comparative Performance Data for Critical Access Hospitals, George H. Pink PhD, Rebecca T. Slifkin PhD, Andrew F. Coburn PhD, and John A. Gale MS

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A Guide to Potentially Inappropriate Medications for the Elderly: Description of the Beers Criteria 2003, Judith B. Tupper DHEd, CHES, CPPS

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Patterns of Individual Health Insurance Coverage, 1996-2000, Erika C. Ziller PhD, Andrew F. Coburn PhD, Timothy D. McBride PhD, and Courtney Andrews

2003

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Variations in Nursing Home Discharge Rates for Urban and Rural Nursing Facility Residents with Hip Fracture., Andrew F. Coburn PhD, Elise Bolda PhD, and Robert G. Keith PhD

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The Characteristics and Roles of Rural Health Clinics in the United States: A Chartbook, John A. Gale and Andrew F. Coburn

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Writing Community-centered Evaluation Reports., Brenda M Joly

Improved Prescribing for the Elderly, Lisa Letourneau MD; Judith B. Tupper DHEd, CHES, CPPS; and C. Oland

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Children's Bicycle Helmet Use and Injuries in Hillsborough County, Florida Before and After Helmet Legislation., Karen D. Liller PhD; Jodi Nearns PhD, MPH; Maria Cabrera; Brenda M. Joly PhD, MPH; Virginia J. Noland; and R McDermott

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Small Town Health Care Safety Nets: Report on a Pilot Study, Pat Taylor PhD; Lynn Blewett PhD; Michelle Brasure PhD; Kathleen Thiede Call PhD; Eric Larson PhD; John A. Gale MS; Amy Hagopian MHA; L. Gary Hart PhD; David Hartley PhD, MHA; Peter House MHA; Mary Katherine James MPH; and Thomas R. Ricketts PhD

2002

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Rural Long-term Care: What do we Need to Know to Improve Policy and Programs?, Andrew F. Coburn PhD

The Impact of Rural Residence on Multiple Hospitalizations in Nursing Facility Residents., Andrew F. Coburn PhD, Robert G. Keith PhD, and Elise J. Bolda PhD

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Patterns of health insurance coverage among rural and urban children [Article], Andrew F. Coburn PhD, Timothy D. McBride PhD, and Erika C. Ziller PhD

Three States' Approaches to Pharmaceutical Assistance: A Guide for the Perplexed, Stephen Crystal; Kimberley S. Fox MPA; Mina Silberberg; Thomas E. Trail; Susan C. Reinhard PhD, RN; and Joel C. Cantor

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State Pharmacy Assistance Programs: Approaches to Program Design, Kimberley S. Fox MPA, Thomas Trail, and Stephen Crystal

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The MaineCare Option for Workers with Disabilities: A Survey of Past and Present Enrollees, Sara T. Salley JD, MPPM and Larry Glantz MSS, MSLP

2001

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Rural Elders and Long-term Care, Andrew F. Coburn PhD and Elise Bolda PhD

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A Review of State Flex Program Plans 2004-2005 (Briefing Paper #10), Stephanie L. Loux MS; John A. Gale MS; Anush Yousefian Hansen MS,MA; Andrew F. Coburn PhD; and Walter Gregg MA, MPH