{ "slug": "missouri-county-primary-care-access-2026", "title": "Missouri Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for Missouri, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 115 counties and independent cities by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "Missouri", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "missouri" ], "publishedDate": "2026-08-01", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-08-01T06:58:53+00:00", "dataVintage": { "places": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)", "hpsa": "HRSA Primary Care HPSA detail extract, accessed 2026-08-01", "acs": "ACS 2019-2023 5-year estimates" }, "methodology": "A Health-Burden axis is built from CDC PLACES crude adult prevalence (diagnosed diabetes, obesity, high blood pressure, coronary heart disease, fair or poor self-rated health, frequent physical distress). An Access & SDOH barriers axis combines uninsured (adults 18-64), lack of reliable transportation, food insecurity, housing insecurity, below poverty (acs), households without a vehicle (acs) (Census ACS measures join CDC PLACES here). Each measure is min-max normalized across the state's counties and independent cities to 0-100, then averaged within its axis. A Provider-Shortage axis scales each county-level's worst designated primary-care HPSA score against the HRSA 0-26 severity scale. The combined Targeting-Priority Index is the equal-weighted mean of the three axes. PLACES values are model-based estimates with confidence intervals (carried per county-level), not direct counts. Scores are relative WITHIN Missouri: a 100 marks the worst county-level in the state on that axis, not a national benchmark.", "limitations": [ "Scores are intra-state relative, not absolute or cross-state comparable.", "PLACES values are small-area model-based estimates with confidence intervals, not direct counts.", "HPSA aggregation takes the worst designated primary-care score per county-level; geographic, population-group, and facility designations are pooled.", "Equal axis weighting is a transparent default, not a calibrated policy model.", "Socioeconomic measures are ACS 2019-2023 5-year estimates; ACS estimates carry margins of error not reflected in the composite.", "This is informational analysis of public data, not clinical, individual, or actuarial advice." ], "sources": [ { "name": "CDC PLACES — Local Data for Better Health (County Data)", "dataset": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)", "url": "https://www.cdc.gov/places/", "apiUrl": "https://data.cdc.gov/resource/swc5-untb.json", "accessedDate": "2026-08-01" }, { "name": "HRSA — Primary Care Health Professional Shortage Areas", "dataset": "Shortage Area HPSA detail (Primary Care discipline, designated)", "url": "https://data.hrsa.gov/data/download", "accessedDate": "2026-08-01" }, { "name": "U.S. Census Bureau — American Community Survey (5-year)", "dataset": "ACS 2019-2023 5-year estimates", "url": "https://www.census.gov/programs-surveys/acs/", "apiUrl": "https://api.census.gov/data/2023/acs/acs5", "accessedDate": "2026-08-01" } ], "measures": { "burden": [ { "id": "DIABETES", "label": "Diagnosed diabetes" }, { "id": "OBESITY", "label": "Obesity" }, { "id": "BPHIGH", "label": "High blood pressure" }, { "id": "CHD", "label": "Coronary heart disease" }, { "id": "GHLTH", "label": "Fair or poor self-rated health" }, { "id": "PHLTH", "label": "Frequent physical distress" } ], "access": [ { "id": "ACCESS2", "label": "Uninsured (adults 18-64)" }, { "id": "LACKTRPT", "label": "Lack of reliable transportation" }, { "id": "FOODINSECU", "label": "Food insecurity" }, { "id": "HOUSINSECU", "label": "Housing insecurity" }, { "id": "ACS_POVERTY", "label": "Below poverty (ACS)" }, { "id": "ACS_NOVEHICLE", "label": "Households without a vehicle (ACS)" } ] }, "stats": { "counties": 115, "countiesWithHpsa": 112, "countiesWithHpsaPct": 97, "medianDiabetes": 13.6, "diabetesMin": { "county": "Pulaski", "value": 8.6 }, "diabetesMax": { "county": "Hickory", "value": 19.7 }, "medianUninsured": 9.8 }, "keyFindings": [ "112 of Missouri's 115 counties and independent cities (97%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 8.6% in Pulaski County to 19.7% in Hickory County, a 11.1-point spread within a single state.", "Pemiscot County carries the highest combined targeting-priority index (84.1/100), led by its access & sdoh barriers score.", "The median county-level uninsured rate (adults 18-64) is 9.8%, and the median adult diabetes prevalence is 13.6%." ], "counties": [ { "fips": "29155", "name": "Pemiscot", "population": 14613, "priorityIndex": 84.1, "burdenScore": 81.7, "accessScore": 89.9, "shortageScore": 80.8, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 21, "hpsaDesignations": 5, "raw": { "DIABETES": 17.9, "OBESITY": 44.9, "BPHIGH": 45.0, "CHD": 9.7, "GHLTH": 32.5, "PHLTH": 19.6, "ACCESS2": 13.1, "LACKTRPT": 14.3, "FOODINSECU": 26.6, "HOUSINSECU": 19.7, "ACS_POVERTY": 27.4, "ACS_NOVEHICLE": 9.9 }, "ci": { "DIABETES": { "lo": 15.8, "hi": 20.4 }, "OBESITY": { "lo": 36.9, "hi": 53.1 }, "BPHIGH": { "lo": 40.7, "hi": 49.4 }, "CHD": { "lo": 8.6, "hi": 10.9 }, "GHLTH": { "lo": 28.5, "hi": 36.8 }, "PHLTH": { "lo": 17.3, "hi": 22.3 }, "ACCESS2": { "lo": 10.6, "hi": 16.0 }, "LACKTRPT": { "lo": 12.5, "hi": 16.3 }, "FOODINSECU": { "lo": 22.8, "hi": 31.0 }, "HOUSINSECU": { "lo": 17.1, "hi": 22.8 } }, "rank": 1 }, { "fips": "29133", "name": "Mississippi", "population": 11822, "priorityIndex": 80.3, "burdenScore": 77.8, "accessScore": 86.2, "shortageScore": 76.9, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 20, "hpsaDesignations": 5, "raw": { "DIABETES": 16.7, "OBESITY": 47.6, "BPHIGH": 44.4, "CHD": 9.2, "GHLTH": 30.9, "PHLTH": 18.7, "ACCESS2": 12.8, "LACKTRPT": 13.2, "FOODINSECU": 24.1, "HOUSINSECU": 18.5, "ACS_POVERTY": 23.0, "ACS_NOVEHICLE": 16.0 }, "ci": { "DIABETES": { "lo": 14.6, "hi": 18.9 }, "OBESITY": { "lo": 39.8, "hi": 55.6 }, "BPHIGH": { "lo": 40.1, "hi": 48.8 }, "CHD": { "lo": 8.2, "hi": 10.4 }, "GHLTH": { "lo": 27.0, "hi": 35.1 }, "PHLTH": { "lo": 16.4, "hi": 21.1 }, "ACCESS2": { "lo": 10.2, "hi": 15.6 }, "LACKTRPT": { "lo": 11.3, "hi": 15.1 }, "FOODINSECU": { "lo": 20.1, "hi": 28.1 }, "HOUSINSECU": { "lo": 15.7, "hi": 21.5 } }, "rank": 2 }, { "fips": "29069", "name": "Dunklin", "population": 27032, "priorityIndex": 75.9, "burdenScore": 75.3, "accessScore": 71.7, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 6, "raw": { "DIABETES": 16.0, "OBESITY": 46.2, "BPHIGH": 44.1, "CHD": 9.3, "GHLTH": 29.7, "PHLTH": 19.3, "ACCESS2": 12.9, "LACKTRPT": 12.0, "FOODINSECU": 22.0, "HOUSINSECU": 16.9, "ACS_POVERTY": 21.4, "ACS_NOVEHICLE": 9.3 }, "ci": { "DIABETES": { "lo": 13.9, "hi": 18.2 }, "OBESITY": { "lo": 38.9, "hi": 53.8 }, "BPHIGH": { "lo": 39.8, "hi": 48.5 }, "CHD": { "lo": 8.1, "hi": 10.4 }, "GHLTH": { "lo": 25.5, "hi": 33.8 }, "PHLTH": { "lo": 16.8, "hi": 21.9 }, "ACCESS2": { "lo": 10.3, "hi": 15.6 }, "LACKTRPT": { "lo": 10.3, "hi": 13.9 }, "FOODINSECU": { "lo": 18.3, "hi": 26.3 }, "HOUSINSECU": { "lo": 14.3, "hi": 19.7 } }, "rank": 3 }, { "fips": "29085", "name": "Hickory", "population": 8718, "priorityIndex": 71.9, "burdenScore": 94.8, "accessScore": 47.9, "shortageScore": 73.1, "topDriver": "Health burden", "hpsaMaxScore": 19, "hpsaDesignations": 2, "raw": { "DIABETES": 19.7, "OBESITY": 43.0, "BPHIGH": 50.1, "CHD": 13.1, "GHLTH": 31.6, "PHLTH": 21.0, "ACCESS2": 10.7, "LACKTRPT": 10.4, "FOODINSECU": 19.1, "HOUSINSECU": 13.1, "ACS_POVERTY": 19.5, "ACS_NOVEHICLE": 3.4 }, "ci": { "DIABETES": { "lo": 17.0, "hi": 22.6 }, "OBESITY": { "lo": 33.9, "hi": 52.3 }, "BPHIGH": { "lo": 45.2, "hi": 54.8 }, "CHD": { "lo": 11.5, "hi": 14.9 }, "GHLTH": { "lo": 27.2, "hi": 36.5 }, "PHLTH": { "lo": 18.3, "hi": 23.9 }, "ACCESS2": { "lo": 8.3, "hi": 13.7 }, "LACKTRPT": { "lo": 8.8, "hi": 12.0 }, "FOODINSECU": { "lo": 15.5, "hi": 22.9 }, "HOUSINSECU": { "lo": 10.9, "hi": 15.5 } }, "rank": 4 }, { "fips": "29223", "name": "Wayne", "population": 10811, "priorityIndex": 71.8, "burdenScore": 79.2, "accessScore": 59.2, "shortageScore": 76.9, "topDriver": "Health burden", "hpsaMaxScore": 20, "hpsaDesignations": 2, "raw": { "DIABETES": 17.4, "OBESITY": 41.5, "BPHIGH": 45.4, "CHD": 11.1, "GHLTH": 30.1, "PHLTH": 20.0, "ACCESS2": 11.4, "LACKTRPT": 10.8, "FOODINSECU": 19.7, "HOUSINSECU": 14.1, "ACS_POVERTY": 25.1, "ACS_NOVEHICLE": 6.1 }, "ci": { "DIABETES": { "lo": 15.0, "hi": 20.0 }, "OBESITY": { "lo": 33.4, "hi": 50.3 }, "BPHIGH": { "lo": 40.8, "hi": 50.1 }, "CHD": { "lo": 9.7, "hi": 12.6 }, "GHLTH": { "lo": 25.5, "hi": 35.0 }, "PHLTH": { "lo": 17.3, "hi": 23.0 }, "ACCESS2": { "lo": 8.5, "hi": 14.4 }, "LACKTRPT": { "lo": 9.0, "hi": 12.7 }, "FOODINSECU": { "lo": 15.8, "hi": 24.0 }, "HOUSINSECU": { "lo": 11.6, "hi": 16.9 } }, "rank": 5 }, { "fips": "29153", "name": "Ozark", "population": 8970, "priorityIndex": 71.1, "burdenScore": 86.0, "accessScore": 54.1, "shortageScore": 73.1, "topDriver": "Health burden", "hpsaMaxScore": 19, "hpsaDesignations": 2, "raw": { "DIABETES": 18.3, "OBESITY": 42.5, "BPHIGH": 47.7, "CHD": 12.0, "GHLTH": 30.6, "PHLTH": 20.3, "ACCESS2": 11.2, "LACKTRPT": 10.4, "FOODINSECU": 18.8, "HOUSINSECU": 13.5, "ACS_POVERTY": 21.7, "ACS_NOVEHICLE": 6.4 }, "ci": { "DIABETES": { "lo": 15.8, "hi": 21.0 }, "OBESITY": { "lo": 34.1, "hi": 51.2 }, "BPHIGH": { "lo": 43.1, "hi": 52.2 }, "CHD": { "lo": 10.5, "hi": 13.6 }, "GHLTH": { "lo": 26.2, "hi": 35.5 }, "PHLTH": { "lo": 17.6, "hi": 23.3 }, "ACCESS2": { "lo": 8.5, "hi": 14.4 }, "LACKTRPT": { "lo": 8.8, "hi": 12.3 }, "FOODINSECU": { "lo": 14.9, "hi": 22.9 }, "HOUSINSECU": { "lo": 11.0, "hi": 16.0 } }, "rank": 6 }, { "fips": "29143", "name": "New Madrid", "population": 15424, "priorityIndex": 69.6, "burdenScore": 68.4, "accessScore": 59.7, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 4, "raw": { "DIABETES": 16.1, "OBESITY": 43.2, "BPHIGH": 43.6, "CHD": 9.1, "GHLTH": 28.2, "PHLTH": 18.2, "ACCESS2": 11.2, "LACKTRPT": 11.4, "FOODINSECU": 20.8, "HOUSINSECU": 15.8, "ACS_POVERTY": 18.6, "ACS_NOVEHICLE": 7.1 }, "ci": { "DIABETES": { "lo": 14.0, "hi": 18.4 }, "OBESITY": { "lo": 36.0, "hi": 50.9 }, "BPHIGH": { "lo": 39.4, "hi": 48.0 }, "CHD": { "lo": 7.9, "hi": 10.3 }, "GHLTH": { "lo": 24.3, "hi": 32.6 }, "PHLTH": { "lo": 15.9, "hi": 20.7 }, "ACCESS2": { "lo": 8.8, "hi": 14.0 }, "LACKTRPT": { "lo": 9.6, "hi": 13.2 }, "FOODINSECU": { "lo": 17.1, "hi": 24.8 }, "HOUSINSECU": { "lo": 13.2, "hi": 18.5 } }, "rank": 7 }, { "fips": "29119", "name": "McDonald", "population": 23903, "priorityIndex": 68.9, "burdenScore": 67.8, "accessScore": 69.6, "shortageScore": 69.2, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 18, "hpsaDesignations": 6, "raw": { "DIABETES": 15.8, "OBESITY": 43.0, "BPHIGH": 41.0, "CHD": 9.0, "GHLTH": 29.5, "PHLTH": 18.7, "ACCESS2": 13.9, "LACKTRPT": 12.4, "FOODINSECU": 22.7, "HOUSINSECU": 17.5, "ACS_POVERTY": 17.2, "ACS_NOVEHICLE": 5.9 }, "ci": { "DIABETES": { "lo": 13.7, "hi": 18.2 }, "OBESITY": { "lo": 34.5, "hi": 52.2 }, "BPHIGH": { "lo": 36.7, "hi": 45.7 }, "CHD": { "lo": 8.0, "hi": 10.1 }, "GHLTH": { "lo": 25.8, "hi": 34.0 }, "PHLTH": { "lo": 16.4, "hi": 21.4 }, "ACCESS2": { "lo": 11.4, "hi": 17.0 }, "LACKTRPT": { "lo": 10.6, "hi": 14.4 }, "FOODINSECU": { "lo": 18.8, "hi": 26.9 }, "HOUSINSECU": { "lo": 14.8, "hi": 20.5 } }, "rank": 8 }, { "fips": "29023", "name": "Butler", "population": 41948, "priorityIndex": 67.0, "burdenScore": 64.8, "accessScore": 59.3, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 3, "raw": { "DIABETES": 15.3, "OBESITY": 41.1, "BPHIGH": 42.5, "CHD": 9.0, "GHLTH": 28.2, "PHLTH": 18.5, "ACCESS2": 11.3, "LACKTRPT": 10.9, "FOODINSECU": 19.6, "HOUSINSECU": 14.9, "ACS_POVERTY": 20.3, "ACS_NOVEHICLE": 8.6 }, "ci": { "DIABETES": { "lo": 13.1, "hi": 17.5 }, "OBESITY": { "lo": 33.7, "hi": 48.8 }, "BPHIGH": { "lo": 38.3, "hi": 46.9 }, "CHD": { "lo": 7.8, "hi": 10.3 }, "GHLTH": { "lo": 24.1, "hi": 32.5 }, "PHLTH": { "lo": 16.1, "hi": 21.1 }, "ACCESS2": { "lo": 8.8, "hi": 14.6 }, "LACKTRPT": { "lo": 9.2, "hi": 12.6 }, "FOODINSECU": { "lo": 16.0, "hi": 23.6 }, "HOUSINSECU": { "lo": 12.5, "hi": 17.6 } }, "rank": 9 }, { "fips": "29221", "name": "Washington", "population": 23534, "priorityIndex": 65.8, "burdenScore": 60.9, "accessScore": 55.6, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 7, "raw": { "DIABETES": 14.8, "OBESITY": 41.9, "BPHIGH": 41.0, "CHD": 8.8, "GHLTH": 27.1, "PHLTH": 17.8, "ACCESS2": 11.0, "LACKTRPT": 10.5, "FOODINSECU": 18.6, "HOUSINSECU": 14.5, "ACS_POVERTY": 18.2, "ACS_NOVEHICLE": 9.4 }, "ci": { "DIABETES": { "lo": 12.6, "hi": 16.8 }, "OBESITY": { "lo": 33.6, "hi": 50.5 }, "BPHIGH": { "lo": 36.7, "hi": 45.4 }, "CHD": { "lo": 7.7, "hi": 9.9 }, "GHLTH": { "lo": 22.9, "hi": 31.4 }, "PHLTH": { "lo": 15.3, "hi": 20.3 }, "ACCESS2": { "lo": 8.5, "hi": 14.0 }, "LACKTRPT": { "lo": 8.7, "hi": 12.3 }, "FOODINSECU": { "lo": 14.6, "hi": 22.6 }, "HOUSINSECU": { "lo": 11.8, "hi": 17.1 } }, "rank": 10 }, { "fips": "29179", "name": "Reynolds", "population": 5950, "priorityIndex": 65.2, "burdenScore": 68.4, "accessScore": 46.5, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 2, "raw": { "DIABETES": 15.9, "OBESITY": 41.2, "BPHIGH": 43.2, "CHD": 10.2, "GHLTH": 27.8, "PHLTH": 18.6, "ACCESS2": 10.7, "LACKTRPT": 9.8, "FOODINSECU": 17.4, "HOUSINSECU": 12.9, "ACS_POVERTY": 17.9, "ACS_NOVEHICLE": 6.1 }, "ci": { "DIABETES": { "lo": 13.6, "hi": 18.3 }, "OBESITY": { "lo": 32.5, "hi": 50.1 }, "BPHIGH": { "lo": 38.6, "hi": 47.8 }, "CHD": { "lo": 8.9, "hi": 11.7 }, "GHLTH": { "lo": 23.3, "hi": 32.3 }, "PHLTH": { "lo": 16.0, "hi": 21.5 }, "ACCESS2": { "lo": 8.1, "hi": 13.8 }, "LACKTRPT": { "lo": 8.2, "hi": 11.5 }, "FOODINSECU": { "lo": 13.8, "hi": 21.4 }, "HOUSINSECU": { "lo": 10.7, "hi": 15.4 } }, "rank": 11 }, { "fips": "29510", "name": "St. Louis city", "population": 281754, "priorityIndex": 65.1, "burdenScore": 34.0, "accessScore": 69.1, "shortageScore": 92.3, "topDriver": "Provider shortage", "hpsaMaxScore": 24, "hpsaDesignations": 108, "raw": { "DIABETES": 13.3, "OBESITY": 37.0, "BPHIGH": 37.5, "CHD": 6.1, "GHLTH": 22.3, "PHLTH": 13.7, "ACCESS2": 9.2, "LACKTRPT": 11.4, "FOODINSECU": 19.6, "HOUSINSECU": 17.8, "ACS_POVERTY": 19.8, "ACS_NOVEHICLE": 17.9 }, "ci": { "DIABETES": { "lo": 11.6, "hi": 15.0 }, "OBESITY": { "lo": 32.6, "hi": 41.5 }, "BPHIGH": { "lo": 34.3, "hi": 40.5 }, "CHD": { "lo": 5.4, "hi": 6.9 }, "GHLTH": { "lo": 19.1, "hi": 25.5 }, "PHLTH": { "lo": 11.9, "hi": 15.5 }, "ACCESS2": { "lo": 7.2, "hi": 11.4 }, "LACKTRPT": { "lo": 9.6, "hi": 13.3 }, "FOODINSECU": { "lo": 16.1, "hi": 23.3 }, "HOUSINSECU": { "lo": 14.8, "hi": 21.0 } }, "rank": 12 }, { "fips": "29091", "name": "Howell", "population": 40735, "priorityIndex": 64.2, "burdenScore": 57.2, "accessScore": 54.5, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 8, "raw": { "DIABETES": 14.9, "OBESITY": 36.8, "BPHIGH": 40.7, "CHD": 9.1, "GHLTH": 27.5, "PHLTH": 17.9, "ACCESS2": 10.8, "LACKTRPT": 10.3, "FOODINSECU": 18.3, "HOUSINSECU": 13.9, "ACS_POVERTY": 21.4, "ACS_NOVEHICLE": 7.9 }, "ci": { "DIABETES": { "lo": 12.6, "hi": 17.0 }, "OBESITY": { "lo": 29.6, "hi": 44.8 }, "BPHIGH": { "lo": 36.5, "hi": 45.0 }, "CHD": { "lo": 7.9, 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"CHD": 5.8, "GHLTH": 17.4, "PHLTH": 12.6, "ACCESS2": 8.0, "LACKTRPT": 7.2, "FOODINSECU": 11.1, "HOUSINSECU": 10.8, "ACS_POVERTY": 8.5, "ACS_NOVEHICLE": 4.2 }, "ci": { "DIABETES": { "lo": 9.2, "hi": 12.5 }, "OBESITY": { "lo": 32.0, "hi": 43.3 }, "BPHIGH": { "lo": 31.3, "hi": 38.7 }, "CHD": { "lo": 5.0, "hi": 6.7 }, "GHLTH": { "lo": 14.8, "hi": 20.7 }, "PHLTH": { "lo": 10.9, "hi": 14.7 }, "ACCESS2": { "lo": 6.2, "hi": 10.1 }, "LACKTRPT": { "lo": 6.0, "hi": 8.3 }, "FOODINSECU": { "lo": 8.7, "hi": 13.5 }, "HOUSINSECU": { "lo": 8.9, "hi": 12.8 } }, "rank": 114 }, { "fips": "29165", "name": "Platte", "population": 111940, "priorityIndex": 8.1, "burdenScore": 15.7, "accessScore": 8.7, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 10.0, "OBESITY": 37.0, "BPHIGH": 33.9, "CHD": 5.6, "GHLTH": 15.8, "PHLTH": 11.9, "ACCESS2": 7.0, "LACKTRPT": 6.3, "FOODINSECU": 9.4, "HOUSINSECU": 9.3, "ACS_POVERTY": 6.8, "ACS_NOVEHICLE": 4.1 }, "ci": { "DIABETES": { "lo": 8.5, "hi": 11.8 }, "OBESITY": { "lo": 30.4, "hi": 43.8 }, "BPHIGH": { "lo": 30.0, "hi": 37.9 }, "CHD": { "lo": 4.8, "hi": 6.5 }, "GHLTH": { "lo": 13.2, "hi": 18.8 }, "PHLTH": { "lo": 10.1, "hi": 13.9 }, "ACCESS2": { "lo": 5.4, "hi": 8.8 }, "LACKTRPT": { "lo": 5.2, "hi": 7.4 }, "FOODINSECU": { "lo": 7.4, "hi": 11.7 }, "HOUSINSECU": { "lo": 7.6, "hi": 11.2 } }, "rank": 115 } ], "faq": [ { "question": "What does the Missouri county-level health-access scorecard measure?", "answer": "It ranks all 115 Missouri counties and independent cities by a combined Targeting-Priority Index that fuses adult chronic-disease and social-risk prevalence from CDC PLACES with federally designated primary-care provider shortages from HRSA, highlighting where health need and thin provider supply overlap." }, { "question": "Which public datasets is it built from?", "answer": "CDC PLACES county estimates (PLACES: Local Data for Better Health, County Data, 2025 release, measure year 2023) and the HRSA Primary Care Health Professional Shortage Area detail file, both fully open federal sources accessed 2026-08-01." }, { "question": "How should the Targeting-Priority Index be used?", "answer": "As a transparent first-pass screen for where to focus outreach, workforce, or program resources. Scores are relative within the state and equal-weighted by default; a real engagement would calibrate weights to a program's goals and add socioeconomic and utilization layers." } ], "contentHash": "779f877f407c086f" }