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Maine Rural Health Research Center

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Maine Rural Health Research Center
NameMaine Rural Health Research Center
Formation1990s
TypeResearch center
HeadquartersPortland, Maine
Parent organizationUniversity of Southern Maine

Maine Rural Health Research Center The Maine Rural Health Research Center is a health policy research unit focused on health services delivery in rural Maine and similar settings across New England, United States. It conducts empirical analyses that inform policy debates in venues such as the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, National Institutes of Health, and state legislatures including the Maine Legislature. The Center collaborates with universities, hospitals, and community organizations to translate research for stakeholders such as the Robert Wood Johnson Foundation, Kaiser Family Foundation, American Medical Association, and local health systems.

Overview

The Center examines access, workforce, and financing issues affecting clinicians and patients in rural Maine, rural New Hampshire, rural Vermont, and other rural counties in the Northeast United States. Its analyses draw on administrative sources like Medicare claims, Medicaid enrollment data, and state hospital discharge datasets, and it engages with policy institutions such as the Health Resources and Services Administration and the Agency for Healthcare Research and Quality. Research topics include primary care delivery, behavioral health integration, telehealth adoption, and the rural impact of federal statutes such as the Affordable Care Act. Frequent dissemination venues include conferences hosted by AcademyHealth, Rural Health Association of Maine, and policy briefings for members of the United States Congress.

History and Establishment

The Center was established amid regional efforts to address rural clinician shortages and hospital closures following policy shifts in the 1990s that affected institutions like MaineGeneral Health and Eastern Maine Medical Center. Founding collaborations involved faculty from the University of Southern Maine, partners at the Maine Medical Center, and stakeholders from state agencies including the Maine Department of Health and Human Services and the Maine Rural Health Association. Early projects responded to federal initiatives led by the Office of Rural Health Policy and to studies from research organizations such as the Rural Health Information Hub and the Urban Institute that highlighted disparities between urban centers like Boston and rural counties such as Aroostook County.

Research Focus and Programs

Major programmatic areas include workforce analyses comparing outcomes in federally designated Health Professional Shortage Areas and evaluations of payment reforms enacted by Centers for Medicare & Medicaid Services demonstration programs. The Center studies telemedicine uptake influenced by policy actions in the Federal Communications Commission and state-level boards like the Maine Board of Licensure in Medicine. It conducts randomized and quasi-experimental evaluations similar to work published by the Brookings Institution and the RAND Corporation, and designs surveys akin to those from the National Rural Health Association and the Commonwealth Fund. Topics address behavioral health linkages involving agencies such as the Substance Abuse and Mental Health Services Administration and chronic disease management exemplified by initiatives at MaineHealth and Central Maine Healthcare.

Funding and Affiliation

The Center receives competitive grants from federal funders including the National Institutes of Health, contracts from the Centers for Medicare & Medicaid Services, and foundation support from organizations such as the Robert Wood Johnson Foundation and the John A. Hartford Foundation. Institutional affiliation anchors the Center in the University of Southern Maine with collaborative appointments from faculty at the University of Maine and visiting scholars from institutions like the Harvard T.H. Chan School of Public Health, the Yale School of Medicine, and the Johns Hopkins Bloomberg School of Public Health. Project partnerships have included the Maine Health Access Foundation, the Blue Cross Blue Shield of Maine, and regional hospital systems including Northern Light Health.

Key Publications and Impact

The Center has produced policy briefs and peer-reviewed articles published in journals similar to Health Affairs, The New England Journal of Medicine, Journal of Rural Health, and Medical Care Research and Review. Reports have informed legislative testimony before the Maine Legislature and federal hearings of the U.S. Senate Committee on Health, Education, Labor, and Pensions. Findings on telehealth, workforce retention, and hospital viability have been cited by policy organizations such as the Kaiser Family Foundation, the Commonwealth Fund, and think tanks including the Urban Institute and Brookings Institution. The Center’s work has shaped state initiatives coordinated with entities like the Maine Center for Disease Control and Prevention.

Partnerships and Community Engagement

Community engagement spans collaborations with county health departments in Cumberland County, Maine and Penobscot County, rural clinics operated by networks such as Peninsula Health Care, and tribal health authorities including representatives from the Passamaquoddy and Penobscot Nation. The Center partners with statewide bodies like the Maine Primary Care Association and participates in multi-stakeholder coalitions that include the American Hospital Association and the National Rural Health Association. Training and technical assistance efforts have been conducted with workforce programs at the Maine Community College System and residency programs affiliated with the Tufts University School of Medicine and Boston University School of Medicine.

Facilities and Staff

Housed within the University of Southern Maine campus facilities in Portland, Maine, the Center’s staff includes health services researchers, economists, and statisticians with prior appointments at institutions such as the University of Michigan, Columbia University, and the University of California, San Francisco. Leadership has engaged with national networks including AcademyHealth and the Association of Schools and Programs of Public Health, and collaborates with policy analysts from organizations such as the Milbank Memorial Fund and the Robert Wood Johnson Foundation. The Center’s analytic capacity leverages computing resources and data agreements maintained with federal partners like CMS and state offices including the Maine Office of Rural Health.

Category:Health research institutes in the United States Category:Medical and health organizations based in Maine