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Rural Health Information Hub

Rural Health
Resources by State: Maine

Closing the Broadband Infrastructure Gap: State Grant Funds and the Digital Divide
Analyzes Pew Trusts data on awarded broadband grants in 17 states between 2014 and 2020 to determine common characteristics of funded projects, criteria for allocation, and communities reached. Includes discussion of implications for Broadband Equity, Access, and Deployment (BEAD) funds and the impact on existing disparities. Offers rural and urban comparisons.
Additional links: Q&A with Pew Trusts, Summary
Author(s): Natassia A. Bravo, Mildred E. Warner
Date: 10/2023
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Implementation of Universal School Meals During COVID-19 and Beyond: School Food Authority and Parent Perspectives
Examines the implementation of the Universal School Meals (USM) policy during COVID-19 and the continuation of USM in California and Maine. Analyzes survey data from school food authorities (SFAs) and parents in both states. Reports on issues such as food procurement and staffing issues during COVID-19, parental perspectives on school meals, and benefits of USM. Includes feedback from rural areas in Maine.
Additional links: Brief
Author(s): Leah Chapman, Juliana F.W. Cohen, Wendi Gosliner, et al.
Date: 09/2023
Sponsoring organization: No Kid Hungry
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A Descriptive Study of Covid-Era Movers to the Northern Forest Region
Discusses citizen relocation to the northern forest region, consisting of counties in Maine, New Hampshire, Vermont, and New York. Describes motivations for relocation during the COVID-19 pandemic, such as opportunities for outdoor recreation and access to rural spaces.
Author(s): Jess Carson, Sarah Boege, Libby Schwaner
Date: 08/2023
Sponsoring organization: Carsey School of Public Policy
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New England Health System CEOs Address Rural Healthcare Crisis In A Live Conversation
Recording of a May 22, 2023, roundtable discussion with the chief executive officers (CEOs) of Dartmouth Health, MaineHealth, and the University of Vermont Health Network regarding the challenges rural healthcare providers face. Covers workforce challenges, regulatory and inflation challenges, and innovations to preserve access to care. Transcript is available in the video description.
Date: 05/2023
Sponsoring organization: Dartmouth Health
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Risk and Protective Factors for Vaping and Smoking Among High School Students in Maine
Examines risks and protective factors related to vaping and smoking among 17,651 high school students in Maine. Provides odds of vaping and smoking according to health and wellness behaviors, perceptions of substance use, and family support, as well as by demographic factors such as sex, race/ethnicity, sexual orientation, grade level, and county.
Author(s): Gabriel Tilton, Sara Huston, Pamela Albert
Citation: Preventing Chronic Disease, 20
Date: 04/2023
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Can Community Paramedicine Improve Health Outcomes in Rural America?
Profiles three community paramedicine programs that serve rural communities in the Midwest, Maine, and Pennsylvania. Describes how community paramedicine can help fill gaps in care in rural communities and improve health outcomes. Identifies challenges to the growth of rural community paramedicine programs, including funding, payment, and workforce.
Author(s): Vida Foubister
Date: 03/2023
Sponsoring organization: Commonwealth Fund
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Examining Health Care Workforce Shortages: Where Do We Go From Here?
Recording of a February 16, 2023, U.S. Senate Committee on Health, Education, Labor & Pensions hearing on healthcare provider shortages. Includes discussion of shortages in rural areas, including rural nurses. Features testimonies by representatives of the University of New England, Meharry Medical College, Johns Hopkins School of Nursing, Ochsner Health, and Dartmouth College.
Additional links: Douglas Staiger, Dartmouth College - Testimony, James E.K. Hildreth, Sr., Meharry Medical College - Testimony, James Herbert, University of New England - Testimony, Leonardo Seoane, Ochsner Health - Testimony
Date: 02/2023
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Maine Opioid Response: 2023-2025 Strategic Action Plan
Outlines steps being taken to save lives, to prevent substance use disorder (SUD), and to ensure that people in Maine can achieve their full potential. Focuses on prevention, treatment, harm reduction, and recovery, as well as public safety and infrastructure, language to acknowledge the importance of working with veterans, New Mainers, and faith-based SUD treatment programs. Mentions rural throughout.
Date: 2023
Sponsoring organization: Maine Governor's Office of Policy Innovation and the Future
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Engaging At-Risk Rural Residents in Secondary Lung Cancer Prevention
Presents the results of a qualitative study analyzing interview transcripts of rural residents in Maine at risk for lung cancer based on smoking history and age to identify key themes that influence their understanding and attitudes regarding lung cancer risk, low-dose computed tomography (LDCT) screening tests, and the role of patient-provider relationships.
Author(s): Erika Ziller, Jean A. Talbot, Martha Elbaum, et al.
Citation: Journal of Primary Care & Community Health, 14
Date: 2023
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