Cutler Institute for Health and Social Policy

Integrated Care Management in Rural Communities


With a focus on older adults, the purpose of this paper is to better understand the opportunities and challenges reform initiatives under the Affordable Care Act present for rural communities:  How easily can current models for integrating care be adapted to a rural context and culture?  How well do they account for gaps and variations in local delivery systems, capacity and infrastructure?  Which strategies offer the greatest promise for addressing the needs of rural residents? 

This paper highlights a number of promising strategies for implementing integrated care in rural communities, recognizing that fulfilling the promise of even the most flexible and adaptive model for integrated care requires an investment in relationship building, workforce, and infrastructure. 

Suggested Citation: Griffin E, Coburn AF. Integrated Care Management in Rural Communities. Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center; May, 2014. Working Paper #54.

To view or download the associated Research & Policy Brief, please visit the Maine Rural Health Research Center website at:

Publication Type: 
Working Paper
Publish Date: 
May 1, 2014

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Hartley Retires as Director of the Maine Rural Health Research Center

David Hartley, PhD

David Hartley, PhD, the Director of the Maine Rural Health Research Center (MRHRC) and a Research Professor of Public Health has announced that he will be retiring from the University of Southern Maine August 31st, 2014. David came to the University in 1994 and has directed the MRHRC since 2004. Andy Coburn, PhD, Research Professor of Public Health, will take over as the new MRHRC Director. Erika Ziller, PhD continues in her role as Deputy Director. David has had a distinguished career in rural health and rural health research, and has made lasting contributions to the field with his work on rural behavioral health, rural disparities and health, and rural active living.

A celebration will be scheduled in early fall to honor David and his many contributions to the field and the University.


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Cover: Maine Crime and Justice Data Book 2014

Using the most recent public safety, corrections, and court data available, the Maine Crime and Justice Data Book presents a portrait of the state's crime and justice indicators, including 10-year trends in Maine and comparisons with northern New England and the U.S. at large.

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