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Rural Health Information Hub

Rural Health
Resources by State: Maine

The Impact of the COVID-19 Pandemic on People who Inject Drugs Accessing Harm Reduction Services in a Rural American State
Results of a study exploring how changes made in Maine during the pandemic affected access to harm reduction services, including basic services such as shelter, syringe service programs, safe drug supply, low barrier buprenorphine treatment, and peer support. Based on interviews with 36 stakeholders comprising people who inject drugs, community partners, and healthcare providers.
Author(s): Kinna Thakarar, Michael Kohut, Rebecca Hutchinson, et al.
Citation: Harm Reduction Journal, 19(80)
Date: 07/2022
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Barriers and Facilitators Associated with Establishment of Emergency Department-Initiated Buprenorphine for Opioid Use Disorder in Rural Maine
Presents a study on the barriers and facilitators for implementing programs that initiate buprenorphine treatment for patients with opioid use disorder (OUD) seeking care in Critical Access Hospital (CAH) emergency departments (EDs) in rural Maine. Highlights findings of a survey of CAH ED directors on the challenges of implementing buprenorphine initiation programs.
Author(s): Noah K. Rosenberg, Alexander B. Hill, Lily Johnsky, et al.
Citation: Journal of Rural Health, 38(3), 612-619
Date: 06/2022
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State Innovation Model Testing Awards from the Centers for Medicare & Medicaid Services Innovation Center: Highlighting Rural Focus
Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Sponsoring organization: Rural Health Value
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Convergence of Service Providers and Managers' Perspectives on Strengths, Gaps, and Priorities for Rural Health System Redesign: A Whole-Systems Qualitative Study in Washington County, Maine
Presents themes from interviews with 46 direct healthcare service providers between September - November 2020 in Washington County, Maine. Explores existing clinical service strengths, local and state gaps in services and the impact of those gaps on quality and safety, and priorities and strategies for sustaining or restoring essential healthcare services.
Author(s): Rebecca L. West, Judy Margo, Jeff Brown, Amy Dowley, Susan Haas
Citation: Journal of Primary Care & Community Health, 13
Date: 05/2022
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National Advisory Committee on Rural Health and Human Services Meeting Summary, April 11-13, 2022
Summarizes the 90th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held virtually. Presents an overview of the meeting's two areas of focus: 1) national, state, and tribal perspectives on access to emergency medical services (EMS) in rural America and 2) rural human services programs and emerging issues.
Date: 04/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Maine: A Health-Focused Landscape Analysis
Chartbook examining population health and healthcare access in Maine, identifying strengths and assets as well as opportunities for improvement. Features demographics and statistics on quality of care, health outcomes, health behaviors, and mortality rates and causes, with breakdowns by rural and urban counties. Includes maps showing locations of Health Professional Shortage Areas, substance use treatment facilities, Rural Health Clinics, Federally Qualified Health Centers, and hospitals.
Author(s): Katherine Ahrens, Amanda Burgess, Carly Milkowski, et al.
Date: 04/2022
Sponsoring organizations: Maine Rural Health Research Center, Northern Border Regional Commission
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The Northern Border Region: A Health-Focused Landscape Analysis
Chartbook examining population health and healthcare access for Maine, New Hampshire, New York, and Vermont, and for the region overall. Identifies strengths and assets of the Northern Border region states, as well as opportunities for improvement. Features demographics and statistics on quality of care, health outcomes, health behaviors, mortality rates and causes, Health Professional Shortage Areas, telehealth policies, and telehealth grants awarded from 2018-2021. Includes maps showing locations of substance use treatment facilities, Rural Health Clinics, Federally Qualified Health Centers, and hospitals.
Author(s): Katherine Ahrens, Amanda Burgess, Carly Milkowski, et al.
Date: 04/2022
Sponsoring organizations: Maine Rural Health Research Center, Northern Border Regional Commission
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Trajectories of Handgun Carrying in Rural Communities From Early Adolescence to Young Adulthood
Results of a study of 2,002 students in 12 communities across 7 states, to explore the patterns, frequency, and duration of handgun carrying among youths growing up in rural areas. Features demographics and statistics including percentage of respondents carrying a handgun at least once in the previous 12 months and frequency of handgun carrying with breakdowns by age.
Author(s): Alice M. Ellyson, Emma L. Gause, Sabrina Oesterle, et al.
Citation: JAMA Network Open, 5(4)
Date: 04/2022
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Community Oncologists' Perceptions and Utilization of Large-Panel Genomic Tumor Testing
Examines perceptions of large-panel genomic tumor testing (GTT) among 58 predominantly rural community oncology physicians in Maine. Reports clinicians' confidence in GTT, attitudes toward GTT, and perceived barriers to implementation.
Author(s): Eric C. Anderson, Alexandra C. Hinton, Christine W. Lary, et al.
Citation: BMC Cancer, 21, 1273
Date: 11/2021
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Addressing Health-Related Social Needs to Improve Rural Health: Ideas to Action
Identifies strategies for building community and regional systems of care to better address the social needs of patients and inform the design of community-level rural health transformation initiatives, pilots, or demonstrations in rural Maine. Examines existing literature and evidence from similar initiatives in Vermont, Idaho, and Oregon, and highlights key observations. Describes key components of a demonstration designed to build, implement, and test strategies for aligning health, social service, and other systems in order to advance whole-person care.
Author(s): Andrew F. Coburn, Deborah A. Deatrick
Date: 09/2021
Sponsoring organizations: Maine Rural Health Action Network, New England Rural Health Association
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