Rural Health
Resources by State: Maine
Socioeconomic and Urban-Rural Disparities in Genome-Matched Treatment Receipt and Survival after Genomic Tumor Testing
Analyzes social advantage in cancer treatment and the relationship to genome-matched treatment and survival rate. Utilizes data from 1,258 patients participating in the Maine Cancer Genomics Initiative with breakdowns according to education, income, and urban, large rural, or small/isolated rural location.
Author(s): Jessica F. DiBiase, Elizabeth Scharnetzki, Emily Edelman, et al.
Citation: JNCI Cancer Spectrum, 8(5)
Date: 09/2024
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Analyzes social advantage in cancer treatment and the relationship to genome-matched treatment and survival rate. Utilizes data from 1,258 patients participating in the Maine Cancer Genomics Initiative with breakdowns according to education, income, and urban, large rural, or small/isolated rural location.
Author(s): Jessica F. DiBiase, Elizabeth Scharnetzki, Emily Edelman, et al.
Citation: JNCI Cancer Spectrum, 8(5)
Date: 09/2024
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Pediatric Subspecialty Outreach Clinics: Reach and Impact on Access to Care
Examines the impact of pediatric subspecialty clinics on driving times to children's subspecialty care in Maine. Compares distance to outreach clinics and clinical hubs for seven pediatric subspecialties, utilizing Google Maps driving time estimates for each Maine ZIP code tabulation area. Includes breakdowns by rural versus urban area.
Author(s): James C. Bohnhoff, Anya Cutler, Sean Hagenbuch, Kristen Kurland
Citation: BMC Pediatrics, 24, 519
Date: 08/2024
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Examines the impact of pediatric subspecialty clinics on driving times to children's subspecialty care in Maine. Compares distance to outreach clinics and clinical hubs for seven pediatric subspecialties, utilizing Google Maps driving time estimates for each Maine ZIP code tabulation area. Includes breakdowns by rural versus urban area.
Author(s): James C. Bohnhoff, Anya Cutler, Sean Hagenbuch, Kristen Kurland
Citation: BMC Pediatrics, 24, 519
Date: 08/2024
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Innovative State Strategies for Rural Broadband: Case Studies from Colorado, Minnesota and Maine
Explores the roles of state broadband policy, local leadership, and private investment in expanding broadband coverage and infrastructure in rural areas. Presents case studies from Colorado, Maine, and Minnesota and describes how rural recipients leverage state and federal broadband funds, navigate financial and regulatory constraints, and develop innovative place-based solutions. Identifies unique challenges, lessons learned, and implications for broadband policy.
Author(s): Natassia A. Bravo, Mildred E. Warner
Date: 07/2024
Sponsoring organization: Cornell University
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Explores the roles of state broadband policy, local leadership, and private investment in expanding broadband coverage and infrastructure in rural areas. Presents case studies from Colorado, Maine, and Minnesota and describes how rural recipients leverage state and federal broadband funds, navigate financial and regulatory constraints, and develop innovative place-based solutions. Identifies unique challenges, lessons learned, and implications for broadband policy.
Author(s): Natassia A. Bravo, Mildred E. Warner
Date: 07/2024
Sponsoring organization: Cornell University
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Community-Driven Strategies to Address Persistent Poverty in Rural Areas
Webinar recording discussing persistent poverty and structural barriers to increasing wealth. Discusses the work of community development finance institutions. Highlights successful program examples including indigenous food systems in Maine, home ownership in the Mississippi Delta and colonias along the U.S.-Mexico Border, and using community engagement to impact systems and policy in Kansas. Transcript available in the video description.
Date: 06/2024
Sponsoring organization: County Health Rankings & Roadmaps
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Webinar recording discussing persistent poverty and structural barriers to increasing wealth. Discusses the work of community development finance institutions. Highlights successful program examples including indigenous food systems in Maine, home ownership in the Mississippi Delta and colonias along the U.S.-Mexico Border, and using community engagement to impact systems and policy in Kansas. Transcript available in the video description.
Date: 06/2024
Sponsoring organization: County Health Rankings & Roadmaps
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Community Buprenorphine Continuation Post-Release Following Extended Release Vs. Sublingual Buprenorphine During Incarceration: A Pilot Project in Maine
Compares post-release outcomes among incarcerated people who received extended-release buprenorphine (XRB) versus sublingual buprenorphine (SLB) for opioid use disorder (OUD) in rural Maine jails. Includes data from two jails, one of which had implemented an XRB pilot program, on rates of post-release community buprenorphine treatment continuation, diversion, safety concerns, XRB side effects, and post-release mortality.
Author(s): Alane B. O'Connor, Catherine Gelsinger, Sadie M. Donovan, Jessica Marshall, Katherine A. Ahrens
Citation: Health & Justice, 12, 28
Date: 06/2024
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Compares post-release outcomes among incarcerated people who received extended-release buprenorphine (XRB) versus sublingual buprenorphine (SLB) for opioid use disorder (OUD) in rural Maine jails. Includes data from two jails, one of which had implemented an XRB pilot program, on rates of post-release community buprenorphine treatment continuation, diversion, safety concerns, XRB side effects, and post-release mortality.
Author(s): Alane B. O'Connor, Catherine Gelsinger, Sadie M. Donovan, Jessica Marshall, Katherine A. Ahrens
Citation: Health & Justice, 12, 28
Date: 06/2024
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Evaluation of the Maternal Opioid Misuse (MOM) Model: Third Annual Report (Implementation Year 2)
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 second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum women with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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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 second implementation year, July 1, 2022–June 30, 2023. Discusses barriers pregnant and postpartum women with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 05/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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2023 Maine Perinatal Health Disparities Needs Assessment
Qualitative assessment of the perinatal system of care in Maine, based on information from interviews and rural focus groups. Includes information on perinatal health indicators and the perinatal workforce capacity, and offers recommendations for improvement.
Author(s): Cecelia Stewart, Allison Tippery, Hailey Marnell-Bozdag, Frances Tarbell
Date: 02/2024
Sponsoring organization: Maine Center for Disease Control and Prevention
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Qualitative assessment of the perinatal system of care in Maine, based on information from interviews and rural focus groups. Includes information on perinatal health indicators and the perinatal workforce capacity, and offers recommendations for improvement.
Author(s): Cecelia Stewart, Allison Tippery, Hailey Marnell-Bozdag, Frances Tarbell
Date: 02/2024
Sponsoring organization: Maine Center for Disease Control and Prevention
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Needs Assessment of the Obstetric Workforce in Maine's Rural Hospitals
Report assessing the workforce needs for 15 hospitals with obstetrics units in rural Maine. Offers a SWOT Analysis and discusses factors contributing to sustainability of the workforce, community characteristics impacting the workforce, recruitment and retention challenges, and training challenges. Offers recommendations at the state, regional, health system, hospital, and unit level.
Author(s): Brianna Keefe-Oates, Katherine Simmonds, Louisa H. Smith, Jeni Stolow
Date: 01/2024
Sponsoring organizations: MaineHealth, Roux Institute, The Maine Rural Maternity & Obstetrics Management Strategies Network
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Report assessing the workforce needs for 15 hospitals with obstetrics units in rural Maine. Offers a SWOT Analysis and discusses factors contributing to sustainability of the workforce, community characteristics impacting the workforce, recruitment and retention challenges, and training challenges. Offers recommendations at the state, regional, health system, hospital, and unit level.
Author(s): Brianna Keefe-Oates, Katherine Simmonds, Louisa H. Smith, Jeni Stolow
Date: 01/2024
Sponsoring organizations: MaineHealth, Roux Institute, The Maine Rural Maternity & Obstetrics Management Strategies Network
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Maine Doula Workforce Assessment
Describes characteristics of doulas in Maine, their locations, the populations they serve, and what types of challenges Maine people face in accessing doulas' services. Includes information from online surveys conducted in 2023-2024. Mentions rural throughout.
Author(s): Sarah Tewhey, Cait Vaughan
Date: 2024
Sponsoring organization: Maine Doula Coalition
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Describes characteristics of doulas in Maine, their locations, the populations they serve, and what types of challenges Maine people face in accessing doulas' services. Includes information from online surveys conducted in 2023-2024. Mentions rural throughout.
Author(s): Sarah Tewhey, Cait Vaughan
Date: 2024
Sponsoring organization: Maine Doula Coalition
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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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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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