Publications

Maine Rural Health Research Center

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 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 . Please click on this icon to see the document in PDF format.

Number	Title	Year	Full Text Version
Chartbook	Profile of rural health insurance coverage: A chartbook	2009
	Rural Coverage Gaps Decline Following Public Health Insurance Expansion	2009
40	Access to Rural Mental Health Services: Service Use and Out-Of-Pocket Costs	2008	Working Paper available upon request
39	Use of Mental Health Services by Rural Children	2008
38	Rural-Urban Differences in Work Patterns Among Adults with Depressive Symptoms	2008
37	Active Living for Rural Youth	2008	Published. See citation below
36	Rural Inpatient Psychiatric Units	2007	Journal article under review
35b	Distribution of Substance Abuse Treatment Facilities Across the Rural-Urban Continuum	2007
35a	Substance Abuse Among Rural Youth	2007	Published. See citation below
34	Uninsured Rural Families	2007	Published. See citation below
33	Out-of-Pocket Health Care Spending and the Rural Underinsured	2005	Published. See citation below
32	Mental Health Encounters in Critical Access Hospital Emergency Rooms: A National Survey	2005	Published. See citation below
31	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
Kim Bird, kbird@usm.maine.edu
(207) 780-4960

Other Publications: 2004 - Present

2009

Coburn, A.F. (2009, January 30). Opportunities for Health Insurance Reform in Maine: State and National Lessons. Presented at the Policy Leaders Academy Legislative Policy Forum on Health Care, Portland, ME.
Gale, J., & Lenardson, J.D. (2009, January). Policy Issues Affecting Maine's Hospitals. (Issue Brief). Portland, ME: University of Southern Maine, Muskie School of Public Service.
Lambert, D., & Gale, J. (2009, January ). Mental Health and Substance Abuse in Maine: Building a Community-Based System. (Issue Brief). Portland, ME: University of Southern Maine, Muskie School of Public Service.
Lenardson, J.D., Ziller, E.C., Coburn, A.F. & Anderson, N.J. (2009, June). Profile of rural health insurance coverage: A chartbook. Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center.
Yousefian, A. (2009, February 20). An Environmental Assessment Instrument for Rural Communities: Development of the Rural Active Living Assessment (RALA) Tools. Presented at the Sixth Active Living Research Annual Conference, San Diego, CA.
Yousefian, A., Ziller, E., Swartz, J., & Hartley, D. (2009). Active living for rural youth: Addressing physical inactivity in rural communities. Journal of Public Health Management and Practice: Special Issue on Rural Public Health, 15(3), 223-231.

2008

Coburn, A.F., MacKinney, A.C., McBride, T.D., Mueller, K.J., Slifkin, R.T., & Wakefield, M.K. (2008, March). Implementing a new USDA Rural Development Program targeting small rural hospitals and their communities. Columbia, MO: RUPRI Rural Health Panel.
Coburn, A.F. & Ziller, E.T. (2008, September 23). The Underinsured in Rural America: The Root of the Problem and Possible Solutions. Presented at The Second National Congress on the Un and Under Insured, Washington, DC.
Hanrahan, N. P., & Hartley, D. (2008). Employment of advanced-practice psychiatric nurses to stem rural mental health workforce shortages. Psychiatric Services, 59(1), 109-111.
Harris, D.E., Aboueissa, A.-M., & Hartley, D. (2008, June). Myocardial infarction and heart failure hospitalization rates in Maine, USA—variability along the urban-rural continuum. Rural and Remote Health [Online Journal], 8(980), online.
Lambert, D. (2008). Meeting the mental health needs of rural older people. In Caring for the older person in rural communities. (pp. 28-35). Kansas City, MO: National Rural Health Association.
Lambert, D., Gale, J.A., & Hartley, D. (2008, Summer). Substance abuse by youth and young adults in rural America. Journal of Rural Health, 24(3), 221-8.
Loux, S., Coleman, R., Ralston, M., & Coburn, A. (2008). Consolidated imaging: Implementing a regional health information exchange system for radiology in Southern Maine. In K. Henriksen, J.B. Battles, M.A. Keyes, & M.L. Grady (Editors). Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 4. Technology and Medication Safety. (pp. 43-54). Rockville, MD: Agency for Healthcare Research & Quality.
Tupper, J., Coburn, A., Loux, S., Moscovice, I., Klingner, J., & Wakefield, M. (2008). Strategies for improving patient safety in small rural hospitals. In K. Henriksen, J.B. Battles, M.A. Keyes, & M.L. Grady (Editors). Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 2. Culture and Redesign. (pp. 303-313). Rockville, MD: Agency for Healthcare Research and Quality.
Ziller, E.C., Coburn, A.F., Anderson, N.J., & Loux, S.L. (2008). Uninsured rural families. The Journal of Rural Health, 24(1), 1-11.

2007

Coburn, A. F., MacKinney, A. C., McBride, T. D., Mueller, K. J., Slifkin, R. T., & Wakefield, M. K. (2007, March). Choosing rural definitions: Implications for health policy. (Issue Brief #2). Omaha, NE: Rural Policy Research Institute Health Panel.
Colgan, C., & Hartley, D. (2007). The two-edged scalpel: Health care and the rural economy. In D. Vail, & L. Pohlmann (Eds.), Health care and tourism: A lead sector strategy for rural Maine. (pp. 53-72). Augusta, ME: Maine Center for Economic Policy. http://www.mecep.org/view.asp?news=211
Gale, J.A., Coburn, A.F., Freeman, V., Gregg, W.R., & Slifkin, R. (2007, February). The community impact of Critical Access Hospitals. (Policy Brief No. 2). Portland, ME: Flex Monitoring Team.
Gale, J., Coburn, A.F., Gregg, W., Slifkin, R., & Freeman, V. (2007, January). Exploring the community impact of Critical Access Hospitals. (Briefing Paper No. 14). Portland, ME: Flex Monitoring Team.
Gale, J., Lenardson, J., Race, M., et al. (2007, December). State initiatives funded by the Medicare Rural Hospital Flexibility Grant Program. (Policy Brief #3). Portland, ME: Flex Monitoring Team.
Hartley, D., Ziller, E., Loux, S., Gale, J., Lambert, D., & Yousefian, A. E. (2007). Use of Critical Access Hospital emergency rooms by patients with mental health symptoms. Journal of Rural Health, 23(2), 108-115.
Lambert, D., & Brennan, M. (2007, January). Mental health and substance abuse in Maine: Building a community-based system. (Issue Brief). Portland, ME: University of Southern Maine, Muskie School of Public Service and the Margaret Chase Smith Policy Center at the University of Maine.
Lenardson, J. D., & Hartley, D. (2007, January). Maine's rural health challenges. (Issue Brief). Portland, ME: University of Southern Maine, Muskie School of Public Service and the Margaret Chase Smith Policy Center at the University of Maine.

2006

Casey, M., Wakefield, M., Coburn, A. F., Moscovice, I., & Loux, S. (2006, December). Prioritizing patient safety interventions in small rural hospitals. Joint Commission Journal on Quality and Patient Safety, 32(12), 693-702.
Coburn, A. F., Loux, S. L., & Bolda, E. J. (2006). Rural hospitals and long-term care: The challenges of diversification and integration strategies. In R. T. Goins, & J. A. Krout (Eds.), Service delivery to rural older adults: Research, policy, and practice. (pp. 103-122). New York, NY: Springer Publishing Co.
Gale, J. A., & Lambert, D. (2006). Mental health care in rural communities: The once and future role of primary care. North Carolina Medical Journal, 67(1), 66-70.
Lambert, D., & Gale, J. A. (2006, October). Integrating primary care and mental health: Current practices in rural community health centers. Kansas City, MO: National Rural Health Association.
Patterson, D. D., Gale, J. A., Loux, S., Yousefian, A. E., & Slifkin, R. T. (2006). Emergency Medical Services (EMS) activities funded by the Medicare Rural Hospital Flexibility Program. (Report No. Briefing Paper No. 8). Portland, ME: The Flex Monitoring Team.
Pearson, K. B. (Ed). (2006). Rural health research in progress in the Rural Health Research Centers Program. (10th ed.). Portland, ME: University of Southern Maine, Edmund S. Muskie School of Public Service, Institute for Health Policy, Maine Rural Health Research Center.
Sawyer, D., Gale, J. A., & Lambert, D. (2006). Rural and frontier mental and behavioral health care: Barriers, effective policy strategies, best practices. Waite Park, MN: National Association of Rural Mental Health.
Ziller, E. C., Coburn, A. F., & Yousefian, A. E. (2006, Nov/Dec.). Out-of-pocket health spending and the rural underinsured. Health Affairs, 25(6), 1688-1699.

2005

Institute of Medicine. Committee on the Future of Rural Health Care. Board on Health Care Services. (2005). Quality through collaboration: The future of rural health. Washington, DC: The National Academies Press. Contributors include Andrew Coburn and David Hartley.
Loux, S. L., Payne, S. M. C., & Knott, A. (2005). Comparing patient safety in rural hospitals by bed count. In Advances in patient safety: From research to implementation. (Vols. 1-4), (pp. 391-402). Rockville, MD: Agency for Healthcare Research and Quality.
Mueller, K. J., Coburn, A. F., MacKinney, A. C., McBride, T. D., Slifkin, R. T., & Wakefield, M. K. (2005). Understanding the impacts of the Medicare Modernization Act: Concerns of congressional staff. Journal of Rural Health, 21(3), 194-197.
Pearson, K. B. (Ed). (2005). Rural health research in progress in the Rural Health Research Centers Program. (9th ed.). Portland, ME: University of Southern Maine, Edmund S. Muskie School of Public Service, Institute for Health Policy, Maine Rural Health Research Center.

2004

Coburn, A. F., Wakefield, M., Casey, M., Moscovice, I., Payne, S. M. C., & Loux, S. (2004). Assuring rural hospital patient safety: What should be the priorities? Journal of Rural Health, 20(4), 314-326.
Hartley, D. (2004). Rural health disparities, population health, and rural culture. American Journal of Public Health, 94(10), 1675-1678.
Hartley, D., & Loux, S. (2005, March). Scope of services offered by Critical Access Hospitals: Results of the 2004 National CAH survey. (Briefing Paper #5). Portland, ME: University of Southern Maine, Edmund S. Muskie School of Public Service, Institute for Health Policy, Maine Rural Health Research Center.
Lambert, D. (2004). Fighting stigma in rural areas: What's different? What works? [Web Page]. URL http://www.adscenter.org/memoranda/fall2004.htm [2004, December 14].
Pearson, K. B. (Ed.). (2004). Rural health research in progress in the Rural Health Research Centers Program (8th ed.). Portland, ME: University of Southern Maine, Edmund S. Muskie School of Public Service, Institute for Health Policy, Maine Rural Health Research Center.
Pearson, K. B. (Ed). (2004). Rural health research in progress: Project Summaries. Portland, ME: University of Southern Maine, Edmund S. Muskie School of Public Service, Institute for Health Policy, Maine Rural Health Research Center.
Pink, G. H., Slifkin, R. T., Coburn, A. F., & Gale, J. A. (2004). Comparative performance data for critical access hospitals. Journal of Rural Health, 20(4), 374-382.
Ziller, E. C., Coburn, A. F., McBride, T. D., & Andrews, C. (2004). Patterns of individual health insurance coverage, 1996-2000. Health Affairs, 23(6), 210-221.