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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 68.5,
        "accessScore": 68.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 68.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41045",
      "geoName": "Malheur",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 2,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 68.5,
        "accessScore": 68.4,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41049",
      "geoName": "Morrow",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 3,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 72.4,
        "accessScore": 54.5,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 65.4,
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41049",
      "geoName": "Morrow",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 3,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 72.4,
        "accessScore": 54.5,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 72.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41049",
      "geoName": "Morrow",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 3,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 72.4,
        "accessScore": 54.5,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 54.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41049",
      "geoName": "Morrow",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 3,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 72.4,
        "accessScore": 54.5,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41035",
      "geoName": "Klamath",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 67.9,
        "accessScore": 55.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 65.4,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41035",
      "geoName": "Klamath",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 67.9,
        "accessScore": 55.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 67.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41035",
      "geoName": "Klamath",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 67.9,
        "accessScore": 55.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 55.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41035",
      "geoName": "Klamath",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 4,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 67.9,
        "accessScore": 55.1,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41011",
      "geoName": "Coos",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 5,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 69.2,
        "accessScore": 44.8,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 64.9,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41011",
      "geoName": "Coos",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 5,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 69.2,
        "accessScore": 44.8,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41011",
      "geoName": "Coos",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 5,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 69.2,
        "accessScore": 44.8,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 44.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41011",
      "geoName": "Coos",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 5,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 69.2,
        "accessScore": 44.8,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 4
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41019",
      "geoName": "Douglas",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 6,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 69.0,
        "accessScore": 38.8,
        "shortageScore": 80.8,
        "hpsaMaxScore": 21,
        "hpsaDesignations": 10
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 62.9,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41019",
      "geoName": "Douglas",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 6,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 69.0,
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        "shortageScore": 80.8,
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        "hpsaDesignations": 10
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      "measureId": "burdenScore",
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      "value": 69.0,
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41019",
      "geoName": "Douglas",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 6,
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      "components": {
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      "measureId": "accessScore",
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      "value": 38.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41019",
      "geoName": "Douglas",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 6,
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      "components": {
        "burdenScore": 69.0,
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        "hpsaDesignations": 10
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 80.8,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41033",
      "geoName": "Josephine",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 70.7,
        "accessScore": 42.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 62.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41033",
      "geoName": "Josephine",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 70.7,
        "accessScore": 42.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 70.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41033",
      "geoName": "Josephine",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
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      "components": {
        "burdenScore": 70.7,
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        "shortageScore": 73.1,
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 42.6,
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41033",
      "geoName": "Josephine",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 7,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 70.7,
        "accessScore": 42.6,
        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41055",
      "geoName": "Sherman",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 69.9,
        "accessScore": 49.7,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 60.4,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41055",
      "geoName": "Sherman",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
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      "components": {
        "burdenScore": 69.9,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
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      "value": 69.9,
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      "fips": "41055",
      "geoName": "Sherman",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 49.7,
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41055",
      "geoName": "Sherman",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 8,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 69.9,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41041",
      "geoName": "Lincoln",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 71.5,
        "accessScore": 37.8,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 59.5,
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        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41041",
      "geoName": "Lincoln",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 71.5,
        "accessScore": 37.8,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41041",
      "geoName": "Lincoln",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 71.5,
        "accessScore": 37.8,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 37.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41041",
      "geoName": "Lincoln",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 9,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 71.5,
        "accessScore": 37.8,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41047",
      "geoName": "Marion",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 49.6,
        "accessScore": 48.5,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 10
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 58.3,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41047",
      "geoName": "Marion",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 49.6,
        "accessScore": 48.5,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 10
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 49.6,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41047",
      "geoName": "Marion",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 49.6,
        "accessScore": 48.5,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 10
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 48.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41047",
      "geoName": "Marion",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 10,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 49.6,
        "accessScore": 48.5,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 10
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 76.9,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41015",
      "geoName": "Curry",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 80.8,
        "accessScore": 28.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 56.8,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41015",
      "geoName": "Curry",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 80.8,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
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      "geoName": "Curry",
      "state": "OR",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 80.8,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 1
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 28.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41015",
      "geoName": "Curry",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 11,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 80.8,
        "accessScore": 28.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 1
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41069",
      "geoName": "Wheeler",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 88.4,
        "accessScore": 19.1,
        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 55.1,
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41069",
      "geoName": "Wheeler",
      "state": "OR",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
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        "shortageScore": 57.7,
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        "hpsaDesignations": 2
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      "measureId": "burdenScore",
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    {
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      "geoName": "Wheeler",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
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      "components": {
        "burdenScore": 88.4,
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        "shortageScore": 57.7,
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      "measureId": "accessScore",
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      "value": 19.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41069",
      "geoName": "Wheeler",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 12,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 88.4,
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        "shortageScore": 57.7,
        "hpsaMaxScore": 15,
        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 57.7,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41059",
      "geoName": "Umatilla",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 13,
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      "components": {
        "burdenScore": 50.2,
        "accessScore": 49.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 7
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 54.9,
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        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41059",
      "geoName": "Umatilla",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 13,
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      "components": {
        "burdenScore": 50.2,
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        "shortageScore": 65.4,
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        "hpsaDesignations": 7
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      "measureId": "burdenScore",
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      "value": 50.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41059",
      "geoName": "Umatilla",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 13,
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      "components": {
        "burdenScore": 50.2,
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        "shortageScore": 65.4,
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        "hpsaDesignations": 7
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 49.2,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41059",
      "geoName": "Umatilla",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 13,
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      "components": {
        "burdenScore": 50.2,
        "accessScore": 49.2,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 7
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 65.4,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41021",
      "geoName": "Gilliam",
      "state": "OR",
      "geoLevel": "county",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "burdenScore": 73.4,
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "shortageScore",
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      "geoName": "Tillamook",
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      "geoLevel": "county",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
        "burdenScore": 51.8,
        "accessScore": 30.0,
        "shortageScore": 76.9,
        "hpsaMaxScore": 20,
        "hpsaDesignations": 7
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      "measureId": "priorityIndex",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
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      "geoName": "Tillamook",
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      "geoLevel": "county",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 15,
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      "components": {
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        "shortageScore": 76.9,
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        "hpsaDesignations": 7
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41025",
      "geoName": "Harney",
      "state": "OR",
      "geoLevel": "county",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 16,
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      "components": {
        "burdenScore": 79.9,
        "accessScore": 40.2,
        "shortageScore": 38.5,
        "hpsaMaxScore": 10,
        "hpsaDesignations": 5
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41025",
      "geoName": "Harney",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
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        "shortageScore": 38.5,
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        "hpsaDesignations": 5
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      "measureId": "burdenScore",
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    {
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "accessScore",
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      "value": 40.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41025",
      "geoName": "Harney",
      "state": "OR",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "hpsaDesignations": 5
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41001",
      "geoName": "Baker",
      "state": "OR",
      "geoLevel": "county",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
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      "vintage": "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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "shortageScore",
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    {
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      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41031",
      "geoName": "Jefferson",
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      "geoLevel": "county",
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      "vintage": "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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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    {
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      "vintage": "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",
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      "measureId": "shortageScore",
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      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41065",
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      "vintage": "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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "vintage": "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",
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    {
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      "vintage": "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",
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      "kind": "derived",
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      "fips": "41065",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "shortageScore",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "vintage": "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",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "geoName": "Jackson",
      "state": "OR",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 73.1,
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        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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        "shortageScore": 73.1,
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      "geoName": "Jackson",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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        "shortageScore": 73.1,
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      "measureId": "accessScore",
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    {
      "kind": "derived",
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      "geoName": "Jackson",
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      "geoLevel": "county",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 21,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
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        "shortageScore": 73.1,
        "hpsaMaxScore": 19,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 73.1,
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41007",
      "geoName": "Clatsop",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 22,
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      "components": {
        "burdenScore": 48.5,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 5
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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      "geoName": "Clatsop",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
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      "geoName": "Clatsop",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41061",
      "geoName": "Union",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "hpsaDesignations": 6
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      "measureId": "priorityIndex",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "vintage": "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",
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      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "fips": "41051",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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      "measureId": "accessScore",
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      "value": 53.0,
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 76.9,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
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      "geoName": "Crook",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 47.8,
        "accessScore": 22.0,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 43.8,
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      "geoName": "Crook",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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        "hpsaDesignations": 3
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    {
      "kind": "derived",
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      "fips": "41013",
      "geoName": "Crook",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 26,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 47.8,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 3
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41043",
      "geoName": "Linn",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 48.4,
        "accessScore": 30.6,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 43.0,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41043",
      "geoName": "Linn",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 48.4,
        "accessScore": 30.6,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 48.4,
      "derivedFrom": []
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    {
      "kind": "derived",
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      "fips": "41043",
      "geoName": "Linn",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 48.4,
        "accessScore": 30.6,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 30.6,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41043",
      "geoName": "Linn",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 27,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 48.4,
        "accessScore": 30.6,
        "shortageScore": 50.0,
        "hpsaMaxScore": 13,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 50.0,
      "derivedFrom": []
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41053",
      "geoName": "Polk",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 28,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 26.4,
        "accessScore": 32.0,
        "shortageScore": 65.4,
        "hpsaMaxScore": 17,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 41.3,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41053",
      "geoName": "Polk",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 28,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 26.4,
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        "shortageScore": 65.4,
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        "hpsaDesignations": 2
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
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      "geoName": "Polk",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "shortageScore": 65.4,
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 32.0,
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    {
      "kind": "derived",
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      "fips": "41053",
      "geoName": "Polk",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 28,
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      "components": {
        "burdenScore": 26.4,
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        "shortageScore": 65.4,
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41003",
      "geoName": "Benton",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 29,
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      "components": {
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        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
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        "shortageScore"
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    {
      "kind": "derived",
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      "fips": "41003",
      "geoName": "Benton",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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      "measureId": "accessScore",
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    {
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      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41003",
      "geoName": "Benton",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
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        "hpsaDesignations": 2
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41009",
      "geoName": "Columbia",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 30,
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      "components": {
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        "shortageScore": 57.7,
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        "hpsaDesignations": 3
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      "measureId": "priorityIndex",
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      "value": 39.3,
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        "shortageScore"
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
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      "geoName": "Columbia",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "burdenScore",
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    {
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      "vintage": "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",
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      "measureId": "accessScore",
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      "value": 19.3,
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41009",
      "geoName": "Columbia",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "components": {
        "burdenScore": 40.9,
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41027",
      "geoName": "Hood River",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 31,
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      "components": {
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        "shortageScore": 57.7,
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        "hpsaDesignations": 2
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      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 36.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
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    {
      "kind": "derived",
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      "fips": "41027",
      "geoName": "Hood River",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 31,
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      "components": {
        "burdenScore": 27.8,
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        "shortageScore": 57.7,
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        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
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    {
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      "geoName": "Hood River",
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      "geoLevel": "county",
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      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
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      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41027",
      "geoName": "Hood River",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 27.8,
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        "shortageScore": 57.7,
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        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
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      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41071",
      "geoName": "Yamhill",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 32,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 34.4,
        "accessScore": 31.7,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 36.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41071",
      "geoName": "Yamhill",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 32,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 34.4,
        "accessScore": 31.7,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
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      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 34.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41071",
      "geoName": "Yamhill",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 32,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 34.4,
        "accessScore": 31.7,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 31.7,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41071",
      "geoName": "Yamhill",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 32,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 34.4,
        "accessScore": 31.7,
        "shortageScore": 42.3,
        "hpsaMaxScore": 11,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 42.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41067",
      "geoName": "Washington",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 33,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 12.8,
        "accessScore": 20.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 34.1,
      "derivedFrom": [
        "burdenScore",
        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41067",
      "geoName": "Washington",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 33,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 12.8,
        "accessScore": 20.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 12.8,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41067",
      "geoName": "Washington",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 33,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 12.8,
        "accessScore": 20.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 20.4,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41067",
      "geoName": "Washington",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 33,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 12.8,
        "accessScore": 20.4,
        "shortageScore": 69.2,
        "hpsaMaxScore": 18,
        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 69.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41005",
      "geoName": "Clackamas",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 34,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 22.0,
        "accessScore": 12.8,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 14
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 32.1,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41005",
      "geoName": "Clackamas",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 34,
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      "components": {
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        "shortageScore": 61.5,
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      "measureId": "burdenScore",
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    {
      "kind": "derived",
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      "geoName": "Clackamas",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 34,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 14
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      "measureId": "accessScore",
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      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41005",
      "geoName": "Clackamas",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 34,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
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        "accessScore": 12.8,
        "shortageScore": 61.5,
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        "hpsaDesignations": 14
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      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41017",
      "geoName": "Deschutes",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 35,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 14.3,
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        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
      "value": 30.7,
      "derivedFrom": [
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        "accessScore",
        "shortageScore"
      ]
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41017",
      "geoName": "Deschutes",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 35,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 14.3,
        "accessScore": 16.2,
        "shortageScore": 61.5,
        "hpsaMaxScore": 16,
        "hpsaDesignations": 2
      },
      "measureId": "burdenScore",
      "measureLabel": "Health burden score",
      "value": 14.3,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41017",
      "geoName": "Deschutes",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 35,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
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        "shortageScore": 61.5,
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        "hpsaDesignations": 2
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      "measureId": "accessScore",
      "measureLabel": "Access & SDOH barriers",
      "value": 16.2,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41017",
      "geoName": "Deschutes",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 35,
      "rankScope": "intra-state (Oregon, 36 counties)",
      "components": {
        "burdenScore": 14.3,
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        "shortageScore": 61.5,
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        "hpsaDesignations": 2
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 61.5,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41063",
      "geoName": "Wallowa",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 36,
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      "components": {
        "burdenScore": 46.1,
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        "shortageScore": 26.9,
        "hpsaMaxScore": 7,
        "hpsaDesignations": 3
      },
      "measureId": "priorityIndex",
      "measureLabel": "Primary-care priority index",
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        "shortageScore"
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    },
    {
      "kind": "derived",
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      "fips": "41063",
      "geoName": "Wallowa",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
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        "hpsaDesignations": 3
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    {
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      "fips": "41063",
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      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
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      "measureId": "accessScore",
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      "value": 13.9,
      "derivedFrom": []
    },
    {
      "kind": "derived",
      "jurisdictionSlug": "oregon-county-primary-care-access-2026",
      "fips": "41063",
      "geoName": "Wallowa",
      "state": "OR",
      "geoLevel": "county",
      "unit": "index_0_100",
      "vintage": "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",
      "sourceName": "KYFEX (computed from CDC PLACES + HRSA + ACS)",
      "methodRef": "scripts/insights/build.py; see jurisdiction methodology",
      "rank": 36,
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      "components": {
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        "hpsaDesignations": 3
      },
      "measureId": "shortageScore",
      "measureLabel": "Provider shortage score",
      "value": 26.9,
      "derivedFrom": []
    }
  ]
}
