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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2006

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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

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Rural Residents More Likely to Be Underinsured, Erika Ziller, Andrew Coburn, and Anush Yousefian

2005

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DirigoChoice Member Survey A Snapshot of the Program’s Early Adopters, Taryn Bowe

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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

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Trends in Health Service Costs and Utilization 1995-2001: An Analysis of a Privately Insured Population in Maine, Elizabeth Kilbreth PhD, Erika Ziller, and Susan Payne

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

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Discussion Paper A Review of Minimum Staffing Ratios for Direct-Care Registered Nurses in Hospitals, Catherine Ormond MS

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Health Care Costs in Maine Chart Book, Susan Payne PhD, MPH and Elizabeth Kilbreth PhD

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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Identifying Designated Providers Under Rule Chapter 850 Access Standards: A Proposed Approach, Maureen Booth, Gino Nalli, and Taryn Bowe

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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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Northern New England Dual Eligibles Chartbook 1999: Maine, New Hampshire, Vermont, Susan Payne and Robert Keith

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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

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Health Insurance Coverage Among Maine Residents: The Results of a Household Survey 2002, Erika Ziller MS and Elizabeth Kilbreth 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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Access to Health Care: What is the Problem and What Can We do About It?, Elizabeth Kilbreth PhD

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Health Care Costs: Does Maine Have a Problem and What Should We Do About It?, Gino Nalli MPH and Andrew F. Coburn PhD

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Maine Dual Eligibles Chart Book, Susan M.C. Payne PhD, MPH; Robert G. Keith PhD; and Sara T. Sally JD, MPPM

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The Dynamics of Disclosure: Its Impact on Recovery and Rehabilitation, Ruth O. Ralph

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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

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

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