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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2004

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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

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Health Insurance Coverage of the Rural and Urban Near Elderly, Erika Ziller and Andrew Coburn

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

2000

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Models for Integrating and Managing Acute and Long-term Care Services in Rural Areas [Working Paper], Andrew F. Coburn PhD

1999

Effects of changing Medicaid fees on physician participation and enrollee access., Andrew F. Coburn Ph.D., Stephen H. Long Ph.D., and M. Susan Marquis Ph.D.

1998

Rural Models for Integrating Primary Care and Mental Health Services., Donna C. Bird PhD; David Lambert PhD; David Hartley PhD, MHA; Peter G. Beeson; and Andrew F. Coburn PhD

The Role of Health Services Research in Developing State Health Policy, Andrew F. Coburn PhD

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Rural Models for Integrating and Managing Acute and Long-term Care Services [Working Paper], Andrew F. Coburn PhD, Elise Bolda PhD, John W. Seavey PhD, Julie T. Fralich MBA, and Deborah Curtis MPH

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Employer-based Health Insurance Coverage of Workers: Are Rural Firms and Workers Different?, Andrew F. Coburn and Elizabeth Kilbreth

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Urban-rural Differences in Employer-based Health Insurance Coverage of Workers, Andrew F. Coburn PhD, Elizabeth H. Kilbreth PhD, Stephen H. Long PhD, and M. Susan Marquis PhD

Management of Patients with Depression by Rural Primary Care Practitioners., David Hartley PhD, MHA; Neil Korsen MD; Donna C. Bird PhD; and Marc S. Agger MPH

Satisfaction with Practice in a Rural State: Perceptions of Nurse Practitioners and Nurse Midwives, Anne B. Keith RN, DrPH, C-PNP; Andrew F. Coburn PhD; and Elizabeth Mahoney JD

State-sponsored Programs for the Uninsured: Is There Adverse Selection?, Elizabeth Kilbreth PhD, Andrew F. Coburn PhD, Catherine McGuire BS, Diane P. Martin, Paula Hagedorn Diehr, C. W. Madden, and S. M. Skillman

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The Impact of Substance Abuse on Federal Spending, Jeffrey Merrill and Kimberley S. Fox MPA

1997

Rural Primary Care Practitioners are a Major Source of Mental Health Services, David Hartley PhD, MHA

1996

Managerial Responses to Medicaid Prospective Payment in the Nursing Home Sector., W M. Reid and Andrew F. Coburn PhD

1995

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Does the Quality of Rural and Urban Nursing Homes Differ?, Andrew F. Coburn, Julie T. Fralich MBA, Catherine McGuire BS, and Richard Fortlinsky PhD

Legislative and Policy Strategies for Supporting Rural Health Network Development: Lessons from the 103rd Congress, Andrew F. Coburn PhD and Keith J. Mueller PhD

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Estimating the Costs of Substance Abuse to the Medicaid Hospital Care Program, Kimberley S. Fox MPA, Jeffrey C. Merrill MPH, Han-hua Chang MA, and Joseph A. Califano LLB

1994

An Expert Panel Approach to Assessing the Rural Implications of Health Care Reform: The Case of the Health Security Act., Andrew F. Coburn PhD, Sam M. Cordes PhD, Robert A. Crittenden MD, J. Patrick Hart PhD, Keith J. Mueller PhD, Wayne W. Myers MD, and Thomas R. Ricketts PhD

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Variations in Outcomes of Care in Urban and Rural Nursing Facilities in Maine, Andrew F. Coburn PhD, Julie T. Fralich MBA, Catherine McGuire BS, and Richard Fortlinsky PhD

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The Cost of Substance Abuse to America’s Health Care System; Report 2: Medicare Hospital Costs, Kimberly S. Fox MPA

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Health Insurance Coverage Among Small Rural and Urban Businesses, Elizabeth Kilbreth, Andrew F. Coburn, and Marc Agger

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Small and Rural: The Double Jeopardy in Expanding Employer-Based Health Insurance Coverage, Elizabeth Kilbreth, Andrew F. Coburn, and Marc Agger

1993

Effect of Prospective Reimbursement on Nursing Home Costs., Andrew F. Coburn PhD, Richard H. Fortinsky PhD, Catherine McGuire BS, and T P McDonald

The Impact of Prospective Reimbursement on Nursing Home Costs, Access to Care and Quality of Care, Andrew F. Coburn PhD, Thomas P. MacDonald, Richard H. Fortinsky PhD, Catherine A. McGuire BS, and Julie T. Fralich MBA

1992

Developing Consumer-centered Quality Assurance Strategies for Home Care, P.A. Riley, Richard H. Fortinsky PhD, and Andrew F. Coburn PhD

1990

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Health Services Research in a Quick and Dirty World: the New York City Hospital Occupancy Crisis, Lois P. Myers, Kimberley S. Fox MPA, and Bruce C. Vladeck

1988

A Longitudinal Study of the Impact of Medicaid Prospective Reimbursement on Nursing Home Care in Maine [Report #4], Andrew F. Coburn, Thomas P. MacDonald, Richard H. Fortinsky PhD, Catherine McGuire BS, and Julie T. Fralich MBA

1987

Management Responses to Maine's Nursing Home Prospective Payment System, T. McDonald, Andrew F. Coburn PhD, and Julie T. Fralich MBA

1985

A Longitudinal Study of the Impact of Medicaid Prospective Reimbursement on Nursing Home Care in Maine [Report #3], Andrew F. Coburn PhD, Thomas P. MacDonald, Richard H. Fortinsky PhD, Catherine McGuire BS, and Julie T. Fralich MBA

1984

The Development and Implementation of Maine's Nursing Home Prospective Payment System, Andrew F. Coburn PhD and Julie T. Fralich MBA