{ "slug": "florida-county-primary-care-access-2026", "title": "Florida County Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for Florida, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 67 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "Florida", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "florida" ], "publishedDate": "2026-08-01", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-08-01T06:58:39+00:00", "dataVintage": { "places": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)", "hpsa": "HRSA Primary Care HPSA detail extract, accessed 2026-08-01", "acs": "ACS 2019-2023 5-year estimates" }, "methodology": "A Health-Burden axis is built from CDC PLACES crude adult prevalence (diagnosed diabetes, obesity, high blood pressure, coronary heart disease, fair or poor self-rated health, frequent physical distress). An Access & SDOH barriers axis combines uninsured (adults 18-64), below poverty (acs), households without a vehicle (acs) (Census ACS measures join CDC PLACES here). Each measure is min-max normalized across the state's counties to 0-100, then averaged within its axis. A Provider-Shortage axis scales each county's worst designated primary-care HPSA score against the HRSA 0-26 severity scale. The combined Targeting-Priority Index is the equal-weighted mean of the three axes. PLACES values are model-based estimates with confidence intervals (carried per county), not direct counts. Scores are relative WITHIN Florida: a 100 marks the worst county in the state on that axis, not a national benchmark.", "limitations": [ "Scores are intra-state relative, not absolute or cross-state comparable.", "These candidate measures were unavailable for Florida in this release (BRFSS SDOH-module participation varies by state), so they are excluded from the index: Lack of reliable transportation, Food insecurity, Housing insecurity.", "PLACES values are small-area model-based estimates with confidence intervals, not direct counts.", "HPSA aggregation takes the worst designated primary-care score per county; geographic, population-group, and facility designations are pooled.", "Equal axis weighting is a transparent default, not a calibrated policy model.", "Socioeconomic measures are ACS 2019-2023 5-year estimates; ACS estimates carry margins of error not reflected in the composite.", "This is informational analysis of public data, not clinical, individual, or actuarial advice." ], "sources": [ { "name": "CDC PLACES — Local Data for Better Health (County Data)", "dataset": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)", "url": "https://www.cdc.gov/places/", "apiUrl": "https://data.cdc.gov/resource/swc5-untb.json", "accessedDate": "2026-08-01" }, { "name": "HRSA — Primary Care Health Professional Shortage Areas", "dataset": "Shortage Area HPSA detail (Primary Care discipline, designated)", "url": "https://data.hrsa.gov/data/download", "accessedDate": "2026-08-01" }, { "name": "U.S. Census Bureau — American Community Survey (5-year)", "dataset": "ACS 2019-2023 5-year estimates", "url": "https://www.census.gov/programs-surveys/acs/", "apiUrl": "https://api.census.gov/data/2023/acs/acs5", "accessedDate": "2026-08-01" } ], "measures": { "burden": [ { "id": "DIABETES", "label": "Diagnosed diabetes" }, { "id": "OBESITY", "label": "Obesity" }, { "id": "BPHIGH", "label": "High blood pressure" }, { "id": "CHD", "label": "Coronary heart disease" }, { "id": "GHLTH", "label": "Fair or poor self-rated health" }, { "id": "PHLTH", "label": "Frequent physical distress" } ], "access": [ { "id": "ACCESS2", "label": "Uninsured (adults 18-64)" }, { "id": "ACS_POVERTY", "label": "Below poverty (ACS)" }, { "id": "ACS_NOVEHICLE", "label": "Households without a vehicle (ACS)" } ] }, "stats": { "counties": 67, "countiesWithHpsa": 66, "countiesWithHpsaPct": 99, "medianDiabetes": 14.3, "diabetesMin": { "county": "Alachua", "value": 10.5 }, "diabetesMax": { "county": "Gadsden", "value": 19.2 }, "medianUninsured": 14.7 }, "keyFindings": [ "66 of Florida's 67 counties (99%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 10.5% in Alachua County to 19.2% in Gadsden County, a 8.7-point spread within a single state.", "Gadsden County carries the highest combined targeting-priority index (81.4/100), led by its health burden score.", "The median county uninsured rate (adults 18-64) is 14.7%, and the median adult diabetes prevalence is 14.3%." ], "counties": [ { "fips": "12039", "name": "Gadsden", "population": 43833, "priorityIndex": 81.4, "burdenScore": 83.3, "accessScore": 80.1, "shortageScore": 80.8, "topDriver": "Health burden", "hpsaMaxScore": 21, "hpsaDesignations": 5, "raw": { "DIABETES": 19.2, "OBESITY": 44.6, "BPHIGH": 44.6, "CHD": 9.3, "GHLTH": 28.9, "PHLTH": 17.7, "ACCESS2": 18.0, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 27.7, "ACS_NOVEHICLE": 10.5 }, "ci": { "DIABETES": { "lo": 17.1, "hi": 21.4 }, "OBESITY": { "lo": 39.2, "hi": 49.7 }, "BPHIGH": { "lo": 41.2, "hi": 47.8 }, "CHD": { "lo": 8.3, "hi": 10.3 }, "GHLTH": { "lo": 25.2, "hi": 32.5 }, "PHLTH": { "lo": 15.6, "hi": 19.9 }, "ACCESS2": { "lo": 15.0, "hi": 21.5 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 1 }, { "fips": "12047", "name": "Hamilton", "population": 13471, "priorityIndex": 73.9, "burdenScore": 82.1, "accessScore": 54.9, "shortageScore": 84.6, "topDriver": "Provider shortage", "hpsaMaxScore": 22, "hpsaDesignations": 3, "raw": { "DIABETES": 17.6, "OBESITY": 41.5, "BPHIGH": 44.3, "CHD": 9.9, "GHLTH": 30.1, "PHLTH": 18.7, "ACCESS2": 19.4, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 27.3, "ACS_NOVEHICLE": 3.7 }, "ci": { "DIABETES": { "lo": 15.4, "hi": 20.0 }, "OBESITY": { "lo": 34.6, "hi": 48.4 }, "BPHIGH": { "lo": 40.1, "hi": 48.4 }, "CHD": { "lo": 8.7, "hi": 11.0 }, "GHLTH": { "lo": 26.3, "hi": 34.2 }, "PHLTH": { "lo": 16.4, "hi": 21.1 }, "ACCESS2": { "lo": 16.1, "hi": 22.7 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 2 }, { "fips": "12107", "name": "Putnam", "population": 75955, "priorityIndex": 69.9, "burdenScore": 76.6, "accessScore": 59.9, "shortageScore": 73.1, "topDriver": "Health burden", "hpsaMaxScore": 19, "hpsaDesignations": 3, "raw": { "DIABETES": 17.5, "OBESITY": 33.1, "BPHIGH": 43.4, "CHD": 10.8, "GHLTH": 29.5, "PHLTH": 19.3, "ACCESS2": 18.0, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 23.9, "ACS_NOVEHICLE": 6.8 }, "ci": { "DIABETES": { "lo": 15.3, "hi": 19.7 }, "OBESITY": { "lo": 26.8, "hi": 39.5 }, "BPHIGH": { "lo": 39.2, "hi": 47.3 }, "CHD": { "lo": 9.5, "hi": 12.0 }, "GHLTH": { "lo": 25.6, "hi": 33.7 }, "PHLTH": { "lo": 16.9, "hi": 21.8 }, "ACCESS2": { "lo": 15.1, "hi": 21.4 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 3 }, { "fips": "12051", "name": "Hendry", "population": 43333, "priorityIndex": 69.2, "burdenScore": 66.4, "accessScore": 79.8, "shortageScore": 61.5, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 16, "hpsaDesignations": 4, "raw": { "DIABETES": 16.8, "OBESITY": 37.6, "BPHIGH": 37.2, "CHD": 8.0, "GHLTH": 31.2, "PHLTH": 18.6, "ACCESS2": 31.5, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 21.6, "ACS_NOVEHICLE": 7.7 }, "ci": { "DIABETES": { "lo": 14.8, "hi": 19.0 }, "OBESITY": { "lo": 31.3, "hi": 44.5 }, "BPHIGH": { "lo": 33.5, "hi": 41.3 }, "CHD": { "lo": 7.1, "hi": 8.9 }, "GHLTH": { "lo": 27.3, "hi": 35.4 }, "PHLTH": { "lo": 16.4, "hi": 20.9 }, "ACCESS2": { "lo": 26.3, "hi": 36.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 4 }, { "fips": "12079", "name": "Madison", "population": 18519, "priorityIndex": 69.2, "burdenScore": 70.0, "accessScore": 52.9, "shortageScore": 84.6, "topDriver": "Provider shortage", "hpsaMaxScore": 22, "hpsaDesignations": 3, "raw": { "DIABETES": 16.8, "OBESITY": 38.0, "BPHIGH": 43.9, "CHD": 9.4, "GHLTH": 26.4, "PHLTH": 17.7, "ACCESS2": 16.6, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 20.9, "ACS_NOVEHICLE": 6.7 }, "ci": { "DIABETES": { "lo": 14.7, "hi": 18.8 }, "OBESITY": { "lo": 31.6, "hi": 44.2 }, "BPHIGH": { "lo": 39.8, "hi": 47.6 }, "CHD": { "lo": 8.3, "hi": 10.5 }, "GHLTH": { "lo": 23.0, "hi": 30.0 }, "PHLTH": { "lo": 15.5, "hi": 19.9 }, "ACCESS2": { "lo": 13.5, "hi": 19.7 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 5 }, { "fips": "12027", "name": "DeSoto", "population": 35979, "priorityIndex": 65.2, "burdenScore": 84.8, "accessScore": 64.7, "shortageScore": 46.2, "topDriver": "Health burden", "hpsaMaxScore": 12, "hpsaDesignations": 2, "raw": { "DIABETES": 17.6, "OBESITY": 41.0, "BPHIGH": 42.4, "CHD": 10.7, "GHLTH": 31.3, "PHLTH": 19.5, "ACCESS2": 26.1, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 23.1, "ACS_NOVEHICLE": 5.3 }, "ci": { "DIABETES": { "lo": 15.4, "hi": 19.9 }, "OBESITY": { "lo": 34.1, "hi": 47.5 }, "BPHIGH": { "lo": 38.4, "hi": 46.1 }, "CHD": { "lo": 9.5, "hi": 12.0 }, "GHLTH": { "lo": 27.1, "hi": 35.4 }, "PHLTH": { "lo": 17.0, "hi": 21.9 }, "ACCESS2": { "lo": 22.3, "hi": 30.3 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 6 }, { "fips": "12043", "name": "Glades", "population": 12786, "priorityIndex": 63.7, "burdenScore": 80.4, "accessScore": 45.4, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 2, "raw": { "DIABETES": 17.7, "OBESITY": 37.1, "BPHIGH": 44.0, "CHD": 10.9, "GHLTH": 29.6, "PHLTH": 18.8, "ACCESS2": 23.7, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 21.2, "ACS_NOVEHICLE": 2.0 }, "ci": { "DIABETES": { "lo": 15.4, "hi": 20.1 }, "OBESITY": { "lo": 29.9, "hi": 44.7 }, "BPHIGH": { "lo": 39.5, "hi": 48.2 }, "CHD": { "lo": 9.5, "hi": 12.3 }, "GHLTH": { "lo": 25.5, "hi": 33.8 }, "PHLTH": { "lo": 16.5, "hi": 21.3 }, "ACCESS2": { "lo": 19.8, "hi": 27.7 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 7 }, { "fips": "12123", "name": "Taylor", "population": 21582, "priorityIndex": 63.1, "burdenScore": 71.1, "accessScore": 45.1, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 5, "raw": { "DIABETES": 15.9, "OBESITY": 40.8, "BPHIGH": 44.3, "CHD": 9.7, "GHLTH": 26.1, "PHLTH": 17.5, "ACCESS2": 15.8, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 17.3, "ACS_NOVEHICLE": 6.4 }, "ci": { "DIABETES": { "lo": 14.0, "hi": 18.1 }, "OBESITY": { "lo": 34.8, "hi": 46.9 }, "BPHIGH": { "lo": 40.5, "hi": 48.2 }, "CHD": { "lo": 8.6, "hi": 10.9 }, "GHLTH": { "lo": 22.6, "hi": 29.8 }, "PHLTH": { "lo": 15.4, "hi": 19.9 }, "ACCESS2": { "lo": 12.9, "hi": 19.2 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 8 }, { "fips": "12077", "name": "Liberty", "population": 7706, "priorityIndex": 62.3, "burdenScore": 62.8, "accessScore": 58.7, "shortageScore": 65.4, "topDriver": "Provider shortage", "hpsaMaxScore": 17, "hpsaDesignations": 2, "raw": { "DIABETES": 14.3, "OBESITY": 44.5, "BPHIGH": 39.5, "CHD": 8.4, "GHLTH": 26.3, "PHLTH": 17.1, "ACCESS2": 18.0, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 20.8, "ACS_NOVEHICLE": 7.7 }, "ci": { "DIABETES": { "lo": 12.3, "hi": 16.3 }, "OBESITY": { "lo": 37.7, "hi": 51.3 }, "BPHIGH": { "lo": 35.5, "hi": 43.4 }, "CHD": { "lo": 7.4, "hi": 9.5 }, "GHLTH": { "lo": 22.6, "hi": 30.4 }, "PHLTH": { "lo": 14.8, "hi": 19.5 }, "ACCESS2": { "lo": 14.6, "hi": 21.7 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 9 }, { "fips": "12065", "name": "Jefferson", "population": 15450, "priorityIndex": 61.3, "burdenScore": 65.0, "accessScore": 57.3, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 2, "raw": { "DIABETES": 16.3, "OBESITY": 35.1, "BPHIGH": 46.3, "CHD": 9.3, "GHLTH": 24.4, "PHLTH": 17.0, "ACCESS2": 14.1, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 20.3, "ACS_NOVEHICLE": 9.0 }, "ci": { "DIABETES": { "lo": 14.1, "hi": 18.6 }, "OBESITY": { "lo": 28.6, "hi": 41.7 }, "BPHIGH": { "lo": 42.1, "hi": 50.5 }, "CHD": { "lo": 8.2, "hi": 10.5 }, "GHLTH": { "lo": 20.8, "hi": 28.0 }, "PHLTH": { "lo": 14.7, "hi": 19.2 }, "ACCESS2": { "lo": 11.5, "hi": 17.0 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 10 }, { "fips": "12086", "name": "Miami-Dade", "population": 2686867, "priorityIndex": 61.0, "burdenScore": 33.2, "accessScore": 68.9, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 40, "raw": { "DIABETES": 15.4, "OBESITY": 29.5, "BPHIGH": 33.8, "CHD": 6.8, "GHLTH": 23.0, "PHLTH": 14.6, "ACCESS2": 25.6, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 14.9, "ACS_NOVEHICLE": 9.7 }, "ci": { "DIABETES": { "lo": 13.4, "hi": 17.5 }, "OBESITY": { "lo": 24.8, "hi": 34.5 }, "BPHIGH": { "lo": 30.5, "hi": 37.2 }, "CHD": { "lo": 5.9, "hi": 7.7 }, "GHLTH": { "lo": 19.4, "hi": 26.8 }, "PHLTH": { "lo": 12.6, "hi": 16.8 }, "ACCESS2": { "lo": 20.2, "hi": 31.0 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 11 }, { "fips": "12121", "name": "Suwannee", "population": 46130, "priorityIndex": 60.9, "burdenScore": 60.9, "accessScore": 41.0, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 5, "raw": { "DIABETES": 15.0, "OBESITY": 38.3, "BPHIGH": 40.9, "CHD": 9.3, "GHLTH": 24.5, "PHLTH": 17.3, "ACCESS2": 16.2, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 14.2, "ACS_NOVEHICLE": 6.4 }, "ci": { "DIABETES": { "lo": 12.9, "hi": 17.1 }, "OBESITY": { "lo": 32.2, "hi": 44.5 }, "BPHIGH": { "lo": 37.0, "hi": 44.8 }, "CHD": { "lo": 8.1, "hi": 10.6 }, "GHLTH": { "lo": 20.8, "hi": 28.5 }, "PHLTH": { "lo": 14.9, "hi": 19.9 }, "ACCESS2": { "lo": 13.4, "hi": 19.2 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 12 }, { "fips": "12055", "name": "Highlands", "population": 107614, "priorityIndex": 60.7, "burdenScore": 78.7, "accessScore": 41.8, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 4, "raw": { "DIABETES": 18.3, "OBESITY": 36.7, "BPHIGH": 46.1, "CHD": 11.7, "GHLTH": 25.9, "PHLTH": 17.5, "ACCESS2": 17.9, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 15.4, "ACS_NOVEHICLE": 5.5 }, "ci": { "DIABETES": { "lo": 15.9, "hi": 20.9 }, "OBESITY": { "lo": 31.2, "hi": 42.5 }, "BPHIGH": { "lo": 42.1, "hi": 50.2 }, "CHD": { "lo": 10.2, "hi": 13.5 }, "GHLTH": { "lo": 22.2, "hi": 30.3 }, "PHLTH": { "lo": 15.1, "hi": 20.2 }, "ACCESS2": { "lo": 14.8, "hi": 21.1 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 13 }, { "fips": "12029", "name": "Dixie", "population": 17465, "priorityIndex": 59.8, "burdenScore": 70.0, "accessScore": 40.1, "shortageScore": 69.2, "topDriver": "Health burden", "hpsaMaxScore": 18, "hpsaDesignations": 3, "raw": { "DIABETES": 16.1, "OBESITY": 34.7, "BPHIGH": 43.3, "CHD": 10.6, "GHLTH": 26.5, "PHLTH": 18.5, "ACCESS2": 16.2, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 19.3, "ACS_NOVEHICLE": 4.2 }, "ci": { "DIABETES": { "lo": 13.9, "hi": 18.2 }, "OBESITY": { "lo": 28.4, "hi": 41.1 }, "BPHIGH": { "lo": 39.1, "hi": 47.3 }, "CHD": { "lo": 9.3, "hi": 12.0 }, "GHLTH": { "lo": 22.6, "hi": 30.5 }, "PHLTH": { "lo": 16.1, "hi": 21.0 }, "ACCESS2": { "lo": 13.3, "hi": 19.4 }, "LACKTRPT": { "lo": 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"FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 9.2, "ACS_NOVEHICLE": 3.9 }, "ci": { "DIABETES": { "lo": 9.5, "hi": 12.5 }, "OBESITY": { "lo": 24.5, "hi": 35.2 }, "BPHIGH": { "lo": 28.8, "hi": 35.7 }, "CHD": { "lo": 5.2, "hi": 6.7 }, "GHLTH": { "lo": 14.1, "hi": 19.0 }, "PHLTH": { "lo": 10.4, "hi": 13.6 }, "ACCESS2": { "lo": 10.6, "hi": 15.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 61 }, { "fips": "12113", "name": "Santa Rosa", "population": 203162, "priorityIndex": 31.2, "burdenScore": 19.3, "accessScore": 12.9, "shortageScore": 61.5, "topDriver": "Provider shortage", "hpsaMaxScore": 16, "hpsaDesignations": 9, "raw": { "DIABETES": 10.9, "OBESITY": 32.1, "BPHIGH": 35.3, "CHD": 6.4, "GHLTH": 17.3, "PHLTH": 13.5, "ACCESS2": 10.8, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 8.4, "ACS_NOVEHICLE": 3.5 }, "ci": { "DIABETES": { "lo": 9.3, "hi": 12.5 }, "OBESITY": 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{ "lo": 13.4, "hi": 18.3 }, "ACCESS2": { "lo": 9.2, "hi": 14.0 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 63 }, { "fips": "12109", "name": "St. Johns", "population": 320110, "priorityIndex": 27.0, "burdenScore": 10.4, "accessScore": 5.2, "shortageScore": 65.4, "topDriver": "Provider shortage", "hpsaMaxScore": 17, "hpsaDesignations": 5, "raw": { "DIABETES": 10.6, "OBESITY": 29.2, "BPHIGH": 34.6, "CHD": 6.5, "GHLTH": 14.6, "PHLTH": 12.3, "ACCESS2": 8.9, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 6.7, "ACS_NOVEHICLE": 2.9 }, "ci": { "DIABETES": { "lo": 8.9, "hi": 12.4 }, "OBESITY": { "lo": 23.7, "hi": 35.1 }, "BPHIGH": { "lo": 30.7, "hi": 38.6 }, "CHD": { "lo": 5.6, "hi": 7.5 }, "GHLTH": { "lo": 12.1, "hi": 17.4 }, "PHLTH": { "lo": 10.4, "hi": 14.3 }, "ACCESS2": { "lo": 6.9, "hi": 11.2 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 64 }, { "fips": "12089", "name": "Nassau", "population": 101501, "priorityIndex": 26.1, "burdenScore": 26.4, "accessScore": 9.6, "shortageScore": 42.3, "topDriver": "Provider shortage", "hpsaMaxScore": 11, "hpsaDesignations": 1, "raw": { "DIABETES": 11.6, "OBESITY": 33.7, "BPHIGH": 36.9, "CHD": 7.4, "GHLTH": 17.0, "PHLTH": 13.8, "ACCESS2": 9.9, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 9.2, "ACS_NOVEHICLE": 2.7 }, "ci": { "DIABETES": { "lo": 10.1, "hi": 13.4 }, "OBESITY": { "lo": 28.7, "hi": 39.2 }, "BPHIGH": { "lo": 33.5, "hi": 40.4 }, "CHD": { "lo": 6.5, "hi": 8.5 }, "GHLTH": { "lo": 14.3, "hi": 20.2 }, "PHLTH": { "lo": 12.0, "hi": 16.0 }, "ACCESS2": { "lo": 7.7, "hi": 12.5 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 65 }, { "fips": "12091", "name": "Okaloosa", "population": 218464, "priorityIndex": 20.1, "burdenScore": 13.2, "accessScore": 16.4, "shortageScore": 30.8, "topDriver": "Provider shortage", "hpsaMaxScore": 8, "hpsaDesignations": 6, "raw": { "DIABETES": 10.8, "OBESITY": 30.7, "BPHIGH": 32.7, "CHD": 6.1, "GHLTH": 17.2, "PHLTH": 12.9, "ACCESS2": 11.7, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 9.3, "ACS_NOVEHICLE": 3.7 }, "ci": { "DIABETES": { "lo": 9.3, "hi": 12.5 }, "OBESITY": { "lo": 25.8, "hi": 36.5 }, "BPHIGH": { "lo": 29.5, "hi": 36.4 }, "CHD": { "lo": 5.3, "hi": 7.0 }, "GHLTH": { "lo": 14.5, "hi": 20.2 }, "PHLTH": { "lo": 11.2, "hi": 14.9 }, "ACCESS2": { "lo": 9.5, "hi": 14.4 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 66 }, { "fips": "12035", "name": "Flagler", "population": 131439, "priorityIndex": 17.6, "burdenScore": 37.9, "accessScore": 14.9, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 13.7, "OBESITY": 30.6, "BPHIGH": 39.2, "CHD": 9.0, "GHLTH": 18.8, "PHLTH": 14.8, "ACCESS2": 11.4, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 9.4, "ACS_NOVEHICLE": 3.4 }, "ci": { "DIABETES": { "lo": 11.9, "hi": 15.6 }, "OBESITY": { "lo": 25.6, "hi": 35.9 }, "BPHIGH": { "lo": 35.6, "hi": 42.8 }, "CHD": { "lo": 7.9, "hi": 10.2 }, "GHLTH": { "lo": 15.9, "hi": 21.9 }, "PHLTH": { "lo": 12.8, "hi": 16.9 }, "ACCESS2": { "lo": 9.3, "hi": 13.9 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 67 } ], "faq": [ { "question": "What does the Florida county health-access scorecard measure?", "answer": "It ranks all 67 Florida counties by a combined Targeting-Priority Index that fuses adult chronic-disease and social-risk prevalence from CDC PLACES with federally designated primary-care provider shortages from HRSA, highlighting where health need and thin provider supply overlap." }, { "question": "Which public datasets is it built from?", "answer": "CDC PLACES county estimates (PLACES: Local Data for Better Health, County Data, 2025 release, measure year 2023) and the HRSA Primary Care Health Professional Shortage Area detail file, both fully open federal sources accessed 2026-08-01." }, { "question": "How should the Targeting-Priority Index be used?", "answer": "As a transparent first-pass screen for where to focus outreach, workforce, or program resources. Scores are relative within the state and equal-weighted by default; a real engagement would calibrate weights to a program's goals and add socioeconomic and utilization layers." } ], "contentHash": "3e4a4057d6c4a27f" }