Cutler Institute for Health and Social Policy

Maine Rural Health Research Center

MRHRC Publications

Maine Rural Health Research Center offers working papers, research and policy briefs,and selected publications in PDF format, which are read by Adobe Acrobat Reader.

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Working papers and publications that are available in PDF format are indicated by the Adobe Acrobat icon . Please click on this icon to see the document in PDF format.

Working Papers and Policy Briefs: 2004 - Present

The working papers and publications available on this site are intended for reference use only. They may not be copied or distributed without permission of the Maine Rural Health Research Center.

Working papers that are available in PDF format are indicated by the Adobe Acrobat icon Available in PDF format. Please click on this icon to see the document in PDF format.

Title

Year

Full Text Version

Research/ Policy Brief

Meaningful Use of the Electronic Health Record (EHR) by Rural Health Clinics

2014

Telemental Health in Today's Rural Health System

2013  

Challenges and Opportunities for Improving Mental Health Services in Rural Long-term Care

2013

 
Patterns of Care for Rural and Urban Children with Mental Health Problems

2013

Adolescent Alcohol Use: Do Risk and Protective Factors Explain Rural-Urban Differences?                                              2012    
Health Care Access Among the Rural Uninsured 2011  Published.
See citation below
 
Impact of Employment Transitions on Health Insurance Coverage of Rural Residents 2010    
Access to Mental Health Services and Family Impact of Rural Children With Mental Health Problems 2010    
Safety Net Activities of Independent Rural Health Clinics 2010    
The Provision of Mental Health Services by Rural Health Clinics 2010    
Mental Health Services in Rural Jails 2010    
Availability, Characteristics, and Role of Detoxification Services in Rural Areas 2009    
Rural-Urban Differences in Health Care Access Vary Across Measures 2009 Research & Policy Brief only  
Private Health Insurance in Rural Areas: Challenges and Opportunities 2009 Research & Policy Brief only  
Profile of Rural Health Insurance Coverage: A Chartbook 2009    
Rural Coverage Gaps Decline Following Public Health Insurance Expansion 2009 Research & Policy Brief only  
Access to Rural Mental Health Services: Service Use and Out-Of-Pocket Costs 2008 Published.
See citation below
 
Use of Mental Health Services by Rural Children 2008    
Rural-Urban Differences in Work Patterns Among Adults with Depressive Symptoms 2008    
Active Living for Rural Youth 2008 Published.
See citation below
 
Rural Inpatient Psychiatric Units 2007 Published.
See citation below
 
Distribution of Substance Abuse Treatment Facilities Across the Rural-Urban Continuum 2007    
Substance Abuse Among Rural Youth 2007 Published.
See citation below
 
Uninsured Rural Families 2007 Published.
See citation below
 
Out-of-Pocket Health Care Spending and the Rural Underinsured 2005 Published.
See citation below
 
Mental Health Encounters in Critical Access Hospital Emergency Rooms: A National Survey 2005 Published.
See citation below
 
Are Advanced Practice Psychiatric Nurses a Solution to Rural Mental Health Workforce Shortages? 2004 Published.
See citation below
 

 

To request a copy, call or email:

Other Publications: 2004 - Present

2014
  • Kilbreth, E., & Ziller, E. (2014). Children's health policy: Promising starts, disappointing outcomes. In J. A. Morone & D. Ehlke (Eds.), Health politics and policy (5th ed.). Independence, KY: Cengage Learning.
  • Lambert, D., & Gale, J. (2014). Integrated care in rural areas. In J. C. Warren & K. B. Smiley (Eds.), Rural public health: Best practices and preventive models (pp. 67-84). New York: Springer Publishing Company.
  • Lenardson, J. D., Hartley, D., Gale, J., & Pearson, K. B. (2014). Substance use and abuse in rural America. In J. C. Warren & K. B. Smiley (Eds.), Rural public health: Best practices and preventive models (pp. 95-114). New York: Springer Publishing Company.
  • Ziller, E. C. (2014). Access to medical care in rural America. In J. C. Warren & K. B. Smiley (Eds.), Rural public health: Best practices and preventive models (pp. 11-28). New York: Springer Publishing Company.
2013
  • Coburn, A.F. (2013). Federal Health Care Reform: An Overview. (Policy Brief). Portland, ME: University of Southern Maine, Muskie School of Public Service.
  • Gale, J.A., & Heady, H.R. (2013). Rural vets: Their barriers, problems, needs. Health Progress, 94(3), 49-52.
  • Nudell, M., Bouthillet, T., Rice, D., Wingrove, G., Cole, D., & Gale, J.A. (2013). Rural acute myocardial infarction survey (RAMIS). International Paramedic Practice, 2(1), 169-175.
  • Pearson, K.B., & Coburn, A.F. (2013). Emergency transfers of the elderly from nursing facilities to Critical Access Hospitals: Opportunities for improving patient safety and quality. (Policy Brief #32). Portland, ME: Flex Monitoring Team. 
  • Talbot, J. A., Coburn, A., Croll, Z. and Ziller, E. (2013), Rural Considerations in Establishing Network Adequacy Standards for Qualified Health Plans in State and Regional Health Insurance Exchanges. The Journal of Rural Health. doi: 10.1111/jrh.12012.
  • Tupper, J. B., Pearson, K. B., Meinersmann, K. M., & Dvorak, J. (2013). Little Shop of Errors: An innovative simulation patient safety workshop for community health care professionals. The Journal of Continuing Education in Nursing, 44. doi: 10.3928/00220124-20130501-63
  • Ziller, E.C. and Riley, T. (2013, March). Examining MaineCare’s coverage options under the Affordable Care Act. Health Policy Colloquium Brief. Portland, ME: University of Southern Maine, Muskie School of Public Service.

2012
  • Coburn, A.F., Ziller, E.C., Croll, Z., & Kilbreth, E. (2012, May). Rural implications of geographic rating of health insurance premiums. (Issue Brief). Minneapolis, MN: State Health Access Reform Evaluation Program, Robert Wood Johnson Foundation.
  • Croll, Z.T., Coburn, A.F., & Pearson, K.B. (2012, April). Promoting a culture of safety: Use of the Hospital Survey On Patient Safety Culture in Critical Access Hospitals. (Briefing Paper No. 30). Portland, ME: Flex Monitoring Team. Policy Brief.
  • Lambert, D., & Gale, J.A. (2012). Integrating care in rural areas. In Smalley, K.B., Warren, J.C., & Rainer, J.P. (Eds.), Rural Mental Health. NY: Springer Publishing Co.
  • Lenardson, J., Hartley, D., Gale, J.A., & Pearson, K.B. (2012). Substance use and abuse in rural America. In Smalley, K.B., Warren, J.C., & Rainer, J.P. (Eds.), Rural Mental Health. NY: Springer Publishing Co.
  • Ziller, E.C., Lenardson, J.D., & Coburn, A.F. (2012). Health care access and use among the rural uninsured. Journal of Health Care for the Poor and Underserved, 23(3), 1327-1345.
2011
2010
2009
2008
2007
2006
2005
2004

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Dr. Ziller to speak on Rural Implementation and Impact of Medicaid Expansions

The impact of the ACA Medicaid expansion on health care coverage and access in rural areas is largely unknown and will depend on the different state policy contexts in which the expansions are implemented and on existing system capacity. Understanding how many rural residents are likely to become newly eligible for Medicaid under the ACA, as well as their characteristics and health status, will provide important information to aid policymakers in structuring outreach and enrollment strategies and ensuring that the healthcare infrastructure and delivery systems in rural areas can address the needs of these individuals.

On March 18th, Dr. Ziller, Deputy Director of the Maine Rural Health Research Center at the University of Southern Maine, will present via a SHARE webinar, nationally representative information identifying rural-urban differences among low-income non-elderly adults (18 to 65) in the following areas:

  • Medicaid eligibility, pre-ACA
  • Medicaid participation, pre-ACA
  • New Medicaid eligibility in 2014

Dr. Ziller will also analyze the characteristics associated with any rural-urban differences in the above areas. Characteristics to be considered include age, gender, employment, education, income, Census region, health status, current relationship to primary care provider, primary care supply, and FQHC availability.

This webinar is based on Dr. Ziller's research under a State Health Access Reform Evaluation (SHARE) grant to inform federal and state implementation of the ACA Medicaid expansion by estimating the size and characteristics of the rural population likely to be newly eligible.
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