The Muskie School of Public Service is Maine’s distinguished public policy school, combining an extensive applied research and technical assistance portfolio with rigorous undergraduate degree programs in geography-anthropology (GYA) and tourism & hospitality (TAH), and graduate programs in public health (MPH) and policy, planning, and management (MPPM). The School’s faculty and staff bring a practical, innovative approach to health, social, environmental, community, and economic development problems, and a commitment to spanning traditional boundaries among university, government, and nonprofit organizations. The School’s research and public service programs provide faculty and students with real-life experiences that expand and inform the educational experience. The Muskie School is also home to the Catherine E. Cutler Institute for Health and Social Policy.

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from 2024

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Trends in maternal opioid use disorder and neonatal abstinence syndrome in Maine, 2016-2022., Julia Dudley, Sarah M B Gabrielson, Alane B O'Connor, and Katherine A. Ahrens PhD

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Lessons Learned from Efforts to Support Vulnerable Critical Access and Other Rural Hospitals, John Gale MS; Celia Jewell RN, MPH; and Karen Pearson MLIS, MA

Submissions from 2023

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Association of Prenatal Depression With New Cardiovascular Disease Within 24 Months Postpartum., Christina M Ackerman-Banks; Heather S Lipkind; Kristin Palmsten; Mariah Pfeiffer RN, MPH; Catherine Gelsinger RN; and Katherine Ahrens MPH, PhD

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Acute health care utilization in the first 24 months postpartum by rurality and pregnancy complications: A prospective cohort study, Katherine Ahrens PhD; Kristin Palmsten ScD; Charlie O. Grantham; Heather S. Lipkind MD, MS; and Christina M. Ackerman-Banks MD

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Mental Health Within 24 Months After Delivery Among Women with Common Pregnancy Conditions., Katherine Ahrens MPH, PhD; Kristin Palmsten; Heather S Lipkind; Mariah Pfeiffer RN, MPH; Catherine Gelsinger RN; and Christina Ackerman-Banks

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Excess deaths associated with COVID-19 by rurality and demographic factors in the United States., Katherine Ahrens PhD; Lauren M Rossen PhD; Carly Milkowski MPH; Catherine Gelsinger RN, MPH; and Erika Ziller PhD

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Urban-Rural and Socioeconomic Differences in Patient Knowledge and Perceptions of Genomic Tumor Testing, Jessica F. DiBiase MPH; Elizabeth Scharnetzki PhD; Emily Edelman MS; F.Lee Lucas PhD; Petra Helbig MSc; Jens Reuter MD; Paul K.J. Han MD,MA,MPH; Erika C. Ziller PhD; Elizabeth A. Jacobs MD, MAAP; Eric C. Anderson PhD; and MCGI Working Grouup

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Twenty-five Years of the Medicare Rural Hospital Flexibility Program: The Past as Prologue, John Gale MS

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Population Health Outcome Measurement Strategies for State Flex Programs, John Gale; Celia Jewell RN, MPH; and Sara Kahn-Troster MPH

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Identifying a Consensus Set of EMS Agency Licensure Elements and Definitions to Support Rural EMS Data Collection, John Gale MS; Celia Jewell RN, MPH; and Karen Pearson MLIS, MA

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Year 3 Evaluation Report: Evaluation of the EMS Supplemental Funding Grants, John Gale MS and Karen Pearson MLIS, MA

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Provision of Postpartum Contraception Before and After the Start of the COVID-19 Pandemic in Maine., Catherine Gelsinger BSN, RN; Kristin Palmsten; Heather S. Lipkind; Mariah Pfeiffer RN, MPH; Christina Ackerman-Banks; Jennifer A Hutcheon; and Katherine A. Ahrens PhD

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Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services [Chartbook], Yvonne Jonk PhD; Carly Milkowski MPH; Zachariah Croll MPH; and Karen Pearson MLIS, MA

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A Consensus Panel Approach to Estimating the Start-Up and Annual Service Costs for Rural Ambulance Agencies, Yvonne Jonk PhD; Gary Wingrove FACPE, CP-C; Nikiah Nudell MS, MPhil, NRP, FACPE; and Kevin McGinnis MPS

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Rural-Urban Residence and Sequelae of Hypertensive Disorders of Pregnancy in the First Year Postpartum, 2007 – 2019, Mariah Pfeiffer BSN, RN; Catherine Gelsinger BSN, RN; Kristin Palmsten; Heather S. Lipkind; Christina Ackerman-Banks; and Katherine Ahrens PhD

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Federal Telehealth Policy Changes During the COVID-19 Public Health Emergency: Associations with Telemental Health Use among Rural and Urban Medicare Beneficiaries, Jean A. Talbot PhD, MPH; Amanda R. Burgess MPPM, MPH; Yvonne C. Jonk PhD; and Heidi O'Connor MS

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Rural Working-Age Adults Report More Cost Barriers to Health Care, Erika C. Ziller PhD; Carly Milkowski MPH; and Amanda Burgess MPPM, MPH

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Engaging At-Risk Rural Residents in Secondary Lung Cancer Prevention., Erika C. Ziller PhD; Jean A. Talbot PhD, MPH; Martha Elbaum; Zachariah T. Croll; Leo B Waterston MA; Neil Korsen MD, MSc; and Paul K J Han MD, MA, MPH

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Rural-Urban Differences in Workers' Access to Paid Sick Leave., Erika Ziller PhD, Carly Milkowski MPH, Zachariah Croll, and Yvonne Jonk PhD

Submissions from 2022

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Maine: A Health-Focused Landscape Analysis, Katherine Ahrens PhD; Amanda Burgess MPPM, MPH; Carly Milkowski MPH; Yvonne Jonk PhD; Louisa Munk MPH; and Erika Ziller PhD

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New York: A Health-Focused Landscape Analysis, Katherine Ahrens PhD; Amanda Burgess MPPM, MPH; Carly Milkowski MPH; Louisa Munk MPH; Yvonne Jonk PhD; and Erika Ziller PhD

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The Northern Border Region: A Health-Focused Landscape Analysis, Katherine Ahrens PhD; Amanda Burgess MPPM, MPH; Carly Milkowski MPH; Louisa Munk MPH; Yvonne Jonk PhD; and Erika Ziller PhD

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New Hampshire: A Health-Focused Landscape Analysis, Katherine Ahrens PhD; Amanda Burgess MPPM, MPH; Carly Milkowski MPH; Louisa Munk MPH; Yvonne Jonk PhD; and Erika C. Ziller PhD

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Vermont: A Health-Focused Landscape Analysis, Katherine Ahrens PhD; Amanda Burgess MPPM, MPH; Carly Milkowski MPH; Louisa Munk MPH; Yvonne Jonk PhD; and Erika C. Ziller PhD

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Maternal Hepatitis C Prevalence and Trends by County, US: 2016-2020, Katherine Ahrens PhD; Lauren M. Rossen PhD, MS; Amanda R. Burgess MPPM, MPH; and Kristin Palmsten ScD

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Community Characteristics and Financial and Operational Performance of Rural Health Clinics in the United States: A Chartbook, John Gale MS, Zachariah Croll MPH, Jamar Croom MS, Louisa Munk MPH, and Yvonne Jonk PhD

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Evaluating State Flex Program Population Health Activities, John Gale MS; Celia Jewell RN, MPH; Sara Kahn-Troster MPH; and Zachariah T. Croll MPH

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An Inventory of State Flex Program Population Health Initiatives for Fiscal Years 2019-2023, Celia Jewell RN, MPH; Sara Kahn-Troster MPH; Zach T. Croll MPH; and John Gale MS

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Patterns of Health Care Use among Rural-Urban Medicare Beneficiaries Age 85 and Older, 2010-2017, Yvonne Jonk PhD, Heidi O'Connor MS, Amanda Burgess MPPM, and Carly Milkowski MPH

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Rural-urban differences in maternal mortality trends in the US, 1999-2017: Accounting for the impact of the pregnancy status checkbox, Lauren M. Rossen PhD; Katherine A. Ahrens PhD; Lindsay S. Womack PhD; and Sayeedha F.G. Uddin MD, MPH

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Economic Security of Older Women in Maine, Kimberly I. Snow MHSA, Elizabeth Gattine JD, and Sammy-Ellie MacKinnon MSW

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Financial Alignment Initiative: New York Integrated Appeals and Grievances Demonstration. First Brief Report, Kimberly I. Snow MHSA, Elizabeth Gattine JD, Edith G. Walsh PhD, and Amy Chepaitis PhD

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Out-of-Hospital Births and Infant Mortality in the United States: Effect Measure Modification by Rural Maternal Residence, Elora Way; Jenny L. Carwile ScD, MPH; Erica C. Ziller PhD; and Katherine Ahrens PhD

Submissions from 2021

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Rural-urban residence and maternal hepatitis C infection, United States: 2010-2018, Katherine A. Ahrens PhD, MPH; Laura M. Rossen PhD, MS; Amanda R. Burgess MPPM; Kristin K. Palmsten ScD; and Erika C. Ziller PhD, MS

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HIV and Hepatitis C in Rural Areas: Prevalence, Service Availability, and Challenges [Webinar], Katherine Ahrens PhD and Amanda Burgess MPPM

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Rural HIV Prevalence and Service Availability in the United States: A Chartbook, Katherine Ahrens PhD, Amanda Burgess MPPM, Louisa Munk, and Erika Ziller PhD

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Medication for Addiction Treatment and Postpartum Health Care Utilization Among Pregnant Persons With Opioid Use Disorder., Katherine Ahrens PhD, Carole A McBride PhD, Alane O'Connor DNP, and Marjorie C Meyer MD

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Experiences of Stigma among Individuals in Recovery from Opioid Use Disorder in a Rural Setting: A Qualitative Analysis, Amanda Burgess MPPM, MPH; Emily Bauer MPH; Shane Gallagher MS; Brianne Karstens BS; LeeAnna Lavoie MPH, CHES; Katherine A. Ahrens PhD; and Alane O'Connor DNP

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Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2019 [State Data Report], Zachariah T. Croll and John Gale MS

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Capacity of Rural Counties to Address an HIV or Hepatitis C Outbreak, Jennifer Lenardson MHS; Jaclyn Janis RN, MPH; Amanda Burgess MPPM; Karen Pearson MLIS, MA; and Martha Elbaum MPA

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Rural-Urban Residence and Emergency Contraception Use, Access, and Counseling in the United States, 2006-2017, Carly Milkowski MPH, Erika Ziller PhD, and Katherine Ahrens PhD

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Advancing Population Health in Rural Places: Key Lessons and Policy Opportunities, Keith J. Mueller PhD; Delaney P. Bounds MPH; Andrew F. Coburn PhD; Alana D. Knudson PhD; Jennifer P. Lundblad PhD, MBA; A. Clinton MacKinney MD, MS; and Timothy D. McBride PhD

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Harnessing the Combined Strengths of a National and a Local Funder to Bolster Maine Medicaid Expansion, Tara Oakman PhD, Barbara Leonard MPH, Kimberley S Fox MPA, Sara Kahn-Troster MPH, and Amanda Burgess MPPM

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Mental Health Services, Jean A. Talbot PhD

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Use of Electronic Health Records to Manage Tobacco Screening and Treatment in Rural Primary Care, Jean A. Talbot PhD, Erica C. Ziller PhD, and Carly Milkowski MPH

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Relative contribution of rice and fish consumption to bioaccessibility-corrected health risks for urban residents in eastern China, Wenqin Wang, Yu Gong, Benjamin K. Greenfield PhD, Luis M. Nunes, Qianqi Yang, Pei Lei, Wenbo Bu, Bin Wang, Xiaomaio Zhao, Lei Huang, and Huan Zhong

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Voices From the Field: A Qualitative Study of the Challenges and Promising Practices of Rural Public Health in Addressing HIV and Hepatitis C, Martha Elbaum Williamson MPA; Karen B. Pearson MLIS, MS; Amanda R. Burgess MPPM; Jennifer D. Lenardson MHS; and Erika C. Ziller PhD

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Health Insurance, Erica C. Ziller PhD and Yvonne Jonk PhD

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The State of Health in Maine: A 20-Year Retrospective, Erika C. Ziller PhD, Carly Milkowski MPH, Amanda R. Burgess MPPM, and Barabara Leonard MPH

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Opioid-Related Visits to Rural Emergency Departments, Erika C. Ziller PhD, Jean A. Talbot PhD, Deborah Thayer MBA, and Carly Milkowski MPH