{
  "slug": "new-jersey-county-primary-care-access-2026",
  "title": "New Jersey County Primary-Care Access & Health-Burden Scorecard",
  "summary": "A county-level targeting index for New Jersey, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 21 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.",
  "state": "New Jersey",
  "category": "Public Health & Risk",
  "tags": [
    "public-health",
    "health-access",
    "geospatial-risk",
    "government-data",
    "new jersey"
  ],
  "publishedDate": "2026-08-01",
  "accessAxisLabel": "Access & SDOH barriers",
  "generatedAt": "2026-08-01T06:59:01+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 to 0-100, then averaged within its axis. A Provider-Shortage axis scales each county's worst designated primary-care HPSA score against the HRSA 0-26 severity scale. The combined Targeting-Priority Index is the equal-weighted mean of the three axes. PLACES values are model-based estimates with confidence intervals (carried per county), not direct counts. Scores are relative WITHIN New Jersey: a 100 marks the worst county in the state on that axis, not a national benchmark.",
  "limitations": [
    "Scores are intra-state relative, not absolute or cross-state comparable.",
    "PLACES values are small-area model-based estimates with confidence intervals, not direct counts.",
    "HPSA aggregation takes the worst designated primary-care score per county; geographic, population-group, and facility designations are pooled.",
    "Equal axis weighting is a transparent default, not a calibrated policy model.",
    "Socioeconomic measures are ACS 2019-2023 5-year estimates; ACS estimates carry margins of error not reflected in the composite.",
    "This is informational analysis of public data, not clinical, individual, or actuarial advice."
  ],
  "sources": [
    {
      "name": "CDC PLACES — Local Data for Better Health (County Data)",
      "dataset": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "url": "https://www.cdc.gov/places/",
      "apiUrl": "https://data.cdc.gov/resource/swc5-untb.json",
      "accessedDate": "2026-08-01"
    },
    {
      "name": "HRSA — Primary Care Health Professional Shortage Areas",
      "dataset": "Shortage Area HPSA detail (Primary Care discipline, designated)",
      "url": "https://data.hrsa.gov/data/download",
      "accessedDate": "2026-08-01"
    },
    {
      "name": "U.S. Census Bureau — American Community Survey (5-year)",
      "dataset": "ACS 2019-2023 5-year estimates",
      "url": "https://www.census.gov/programs-surveys/acs/",
      "apiUrl": "https://api.census.gov/data/2023/acs/acs5",
      "accessedDate": "2026-08-01"
    }
  ],
  "measures": {
    "burden": [
      {
        "id": "DIABETES",
        "label": "Diagnosed diabetes"
      },
      {
        "id": "OBESITY",
        "label": "Obesity"
      },
      {
        "id": "BPHIGH",
        "label": "High blood pressure"
      },
      {
        "id": "CHD",
        "label": "Coronary heart disease"
      },
      {
        "id": "GHLTH",
        "label": "Fair or poor self-rated health"
      },
      {
        "id": "PHLTH",
        "label": "Frequent physical distress"
      }
    ],
    "access": [
      {
        "id": "ACCESS2",
        "label": "Uninsured (adults 18-64)"
      },
      {
        "id": "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": 21,
    "countiesWithHpsa": 18,
    "countiesWithHpsaPct": 86,
    "medianDiabetes": 11.1,
    "diabetesMin": {
      "county": "Morris",
      "value": 9.0
    },
    "diabetesMax": {
      "county": "Cumberland",
      "value": 13.5
    },
    "medianUninsured": 9.8
  },
  "keyFindings": [
    "18 of New Jersey's 21 counties (86%) fall within a federally designated primary-care Health Professional Shortage Area.",
    "Adult diagnosed-diabetes prevalence ranges from 9.0% in Morris County to 13.5% in Cumberland County, a 4.5-point spread within a single state.",
    "Cumberland County carries the highest combined targeting-priority index (76.4/100), led by its health burden score.",
    "The median county uninsured rate (adults 18-64) is 9.8%, and the median adult diabetes prevalence is 11.1%."
  ],
  "counties": [
    {
      "fips": "34011",
      "name": "Cumberland",
      "population": 152326,
      "priorityIndex": 76.4,
      "burdenScore": 95.5,
      "accessScore": 87.4,
      "shortageScore": 46.2,
      "topDriver": "Health burden",
      "hpsaMaxScore": 12,
      "hpsaDesignations": 6,
      "raw": {
        "DIABETES": 13.5,
        "OBESITY": 40.4,
        "BPHIGH": 38.8,
        "CHD": 7.0,
        "GHLTH": 24.9,
        "PHLTH": 16.0,
        "ACCESS2": 18.4,
        "LACKTRPT": 11.8,
        "FOODINSECU": 23.9,
        "HOUSINSECU": 19.4,
        "ACS_POVERTY": 16.3,
        "ACS_NOVEHICLE": 10.2
      },
      "ci": {
        "DIABETES": {
          "lo": 11.8,
          "hi": 15.4
        },
        "OBESITY": {
          "lo": 33.7,
          "hi": 46.9
        },
        "BPHIGH": {
          "lo": 34.8,
          "hi": 42.7
        },
        "CHD": {
          "lo": 6.2,
          "hi": 7.8
        },
        "GHLTH": {
          "lo": 21.7,
          "hi": 28.3
        },
        "PHLTH": {
          "lo": 14.0,
          "hi": 18.1
        },
        "ACCESS2": {
          "lo": 15.2,
          "hi": 21.7
        },
        "LACKTRPT": {
          "lo": 10.3,
          "hi": 13.6
        },
        "FOODINSECU": {
          "lo": 20.3,
          "hi": 27.8
        },
        "HOUSINSECU": {
          "lo": 16.7,
          "hi": 22.5
        }
      },
      "rank": 1
    },
    {
      "fips": "34033",
      "name": "Salem",
      "population": 65338,
      "priorityIndex": 61.4,
      "burdenScore": 68.4,
      "accessScore": 46.6,
      "shortageScore": 69.2,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 1,
      "raw": {
        "DIABETES": 11.9,
        "OBESITY": 34.0,
        "BPHIGH": 37.4,
        "CHD": 6.9,
        "GHLTH": 19.7,
        "PHLTH": 14.2,
        "ACCESS2": 11.0,
        "LACKTRPT": 8.3,
        "FOODINSECU": 15.6,
        "HOUSINSECU": 13.0,
        "ACS_POVERTY": 12.8,
        "ACS_NOVEHICLE": 9.5
      },
      "ci": {
        "DIABETES": {
          "lo": 10.1,
          "hi": 13.8
        },
        "OBESITY": {
          "lo": 27.3,
          "hi": 41.3
        },
        "BPHIGH": {
          "lo": 33.2,
          "hi": 41.7
        },
        "CHD": {
          "lo": 6.0,
          "hi": 7.9
        },
        "GHLTH": {
          "lo": 16.6,
          "hi": 23.3
        },
        "PHLTH": {
          "lo": 12.3,
          "hi": 16.5
        },
        "ACCESS2": {
          "lo": 8.9,
          "hi": 13.3
        },
        "LACKTRPT": {
          "lo": 7.0,
          "hi": 9.6
        },
        "FOODINSECU": {
          "lo": 12.7,
          "hi": 18.8
        },
        "HOUSINSECU": {
          "lo": 10.8,
          "hi": 15.4
        }
      },
      "rank": 2
    },
    {
      "fips": "34013",
      "name": "Essex",
      "population": 851117,
      "priorityIndex": 60.7,
      "burdenScore": 45.1,
      "accessScore": 79.2,
      "shortageScore": 57.7,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 15,
      "hpsaDesignations": 90,
      "raw": {
        "DIABETES": 12.0,
        "OBESITY": 29.6,
        "BPHIGH": 31.7,
        "CHD": 5.6,
        "GHLTH": 20.1,
        "PHLTH": 12.9,
        "ACCESS2": 14.5,
        "LACKTRPT": 10.6,
        "FOODINSECU": 21.2,
        "HOUSINSECU": 18.2,
        "ACS_POVERTY": 15.0,
        "ACS_NOVEHICLE": 21.6
      },
      "ci": {
        "DIABETES": {
          "lo": 10.6,
          "hi": 13.7
        },
        "OBESITY": {
          "lo": 25.5,
          "hi": 33.9
        },
        "BPHIGH": {
          "lo": 29.0,
          "hi": 34.7
        },
        "CHD": {
          "lo": 5.0,
          "hi": 6.3
        },
        "GHLTH": {
          "lo": 17.4,
          "hi": 23.1
        },
        "PHLTH": {
          "lo": 11.4,
          "hi": 14.6
        },
        "ACCESS2": {
          "lo": 11.8,
          "hi": 17.4
        },
        "LACKTRPT": {
          "lo": 9.0,
          "hi": 12.2
        },
        "FOODINSECU": {
          "lo": 17.7,
          "hi": 24.6
        },
        "HOUSINSECU": {
          "lo": 15.4,
          "hi": 20.9
        }
      },
      "rank": 3
    },
    {
      "fips": "34031",
      "name": "Passaic",
      "population": 513395,
      "priorityIndex": 56.5,
      "burdenScore": 60.8,
      "accessScore": 78.0,
      "shortageScore": 30.8,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 8,
      "hpsaDesignations": 1,
      "raw": {
        "DIABETES": 12.7,
        "OBESITY": 31.0,
        "BPHIGH": 32.4,
        "CHD": 6.1,
        "GHLTH": 22.5,
        "PHLTH": 14.5,
        "ACCESS2": 18.3,
        "LACKTRPT": 9.9,
        "FOODINSECU": 22.4,
        "HOUSINSECU": 17.8,
        "ACS_POVERTY": 13.7,
        "ACS_NOVEHICLE": 14.4
      },
      "ci": {
        "DIABETES": {
          "lo": 11.2,
          "hi": 14.4
        },
        "OBESITY": {
          "lo": 26.3,
          "hi": 35.8
        },
        "BPHIGH": {
          "lo": 29.4,
          "hi": 35.6
        },
        "CHD": {
          "lo": 5.5,
          "hi": 6.9
        },
        "GHLTH": {
          "lo": 19.7,
          "hi": 25.8
        },
        "PHLTH": {
          "lo": 12.8,
          "hi": 16.4
        },
        "ACCESS2": {
          "lo": 14.7,
          "hi": 21.9
        },
        "LACKTRPT": {
          "lo": 8.2,
          "hi": 11.7
        },
        "FOODINSECU": {
          "lo": 18.4,
          "hi": 26.8
        },
        "HOUSINSECU": {
          "lo": 14.6,
          "hi": 20.9
        }
      },
      "rank": 4
    },
    {
      "fips": "34001",
      "name": "Atlantic",
      "population": 275213,
      "priorityIndex": 51.3,
      "burdenScore": 64.3,
      "accessScore": 51.0,
      "shortageScore": 38.5,
      "topDriver": "Health burden",
      "hpsaMaxScore": 10,
      "hpsaDesignations": 1,
      "raw": {
        "DIABETES": 12.7,
        "OBESITY": 30.7,
        "BPHIGH": 36.1,
        "CHD": 6.8,
        "GHLTH": 19.6,
        "PHLTH": 13.8,
        "ACCESS2": 11.9,
        "LACKTRPT": 8.5,
        "FOODINSECU": 16.2,
        "HOUSINSECU": 13.3,
        "ACS_POVERTY": 13.1,
        "ACS_NOVEHICLE": 11.7
      },
      "ci": {
        "DIABETES": {
          "lo": 11.0,
          "hi": 14.6
        },
        "OBESITY": {
          "lo": 25.8,
          "hi": 36.2
        },
        "BPHIGH": {
          "lo": 32.6,
          "hi": 39.7
        },
        "CHD": {
          "lo": 6.0,
          "hi": 7.8
        },
        "GHLTH": {
          "lo": 16.8,
          "hi": 22.9
        },
        "PHLTH": {
          "lo": 12.0,
          "hi": 15.9
        },
        "ACCESS2": {
          "lo": 9.7,
          "hi": 14.2
        },
        "LACKTRPT": {
          "lo": 7.3,
          "hi": 9.8
        },
        "FOODINSECU": {
          "lo": 13.5,
          "hi": 19.1
        },
        "HOUSINSECU": {
          "lo": 11.3,
          "hi": 15.4
        }
      },
      "rank": 5
    },
    {
      "fips": "34039",
      "name": "Union",
      "population": 572726,
      "priorityIndex": 49.1,
      "burdenScore": 43.9,
      "accessScore": 53.4,
      "shortageScore": 50.0,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 13,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 11.6,
        "OBESITY": 29.7,
        "BPHIGH": 33.7,
        "CHD": 5.5,
        "GHLTH": 18.7,
        "PHLTH": 12.7,
        "ACCESS2": 15.0,
        "LACKTRPT": 8.6,
        "FOODINSECU": 17.3,
        "HOUSINSECU": 15.4,
        "ACS_POVERTY": 8.9,
        "ACS_NOVEHICLE": 10.6
      },
      "ci": {
        "DIABETES": {
          "lo": 10.1,
          "hi": 13.2
        },
        "OBESITY": {
          "lo": 25.2,
          "hi": 34.4
        },
        "BPHIGH": {
          "lo": 30.6,
          "hi": 37.0
        },
        "CHD": {
          "lo": 4.9,
          "hi": 6.2
        },
        "GHLTH": {
          "lo": 16.1,
          "hi": 21.7
        },
        "PHLTH": {
          "lo": 11.1,
          "hi": 14.4
        },
        "ACCESS2": {
          "lo": 12.1,
          "hi": 18.3
        },
        "LACKTRPT": {
          "lo": 7.3,
          "hi": 9.9
        },
        "FOODINSECU": {
          "lo": 14.2,
          "hi": 20.5
        },
        "HOUSINSECU": {
          "lo": 13.0,
          "hi": 17.9
        }
      },
      "rank": 6
    },
    {
      "fips": "34009",
      "name": "Cape May",
      "population": 94610,
      "priorityIndex": 44.5,
      "burdenScore": 69.4,
      "accessScore": 17.8,
      "shortageScore": 46.2,
      "topDriver": "Health burden",
      "hpsaMaxScore": 12,
      "hpsaDesignations": 21,
      "raw": {
        "DIABETES": 11.7,
        "OBESITY": 33.5,
        "BPHIGH": 38.9,
        "CHD": 7.8,
        "GHLTH": 17.1,
        "PHLTH": 13.7,
        "ACCESS2": 8.3,
        "LACKTRPT": 5.7,
        "FOODINSECU": 10.1,
        "HOUSINSECU": 8.4,
        "ACS_POVERTY": 8.7,
        "ACS_NOVEHICLE": 6.3
      },
      "ci": {
        "DIABETES": {
          "lo": 10.1,
          "hi": 13.7
        },
        "OBESITY": {
          "lo": 27.3,
          "hi": 40.1
        },
        "BPHIGH": {
          "lo": 35.1,
          "hi": 43.1
        },
        "CHD": {
          "lo": 6.7,
          "hi": 9.0
        },
        "GHLTH": {
          "lo": 14.1,
          "hi": 20.5
        },
        "PHLTH": {
          "lo": 11.7,
          "hi": 15.9
        },
        "ACCESS2": {
          "lo": 6.5,
          "hi": 10.5
        },
        "LACKTRPT": {
          "lo": 4.7,
          "hi": 6.7
        },
        "FOODINSECU": {
          "lo": 7.9,
          "hi": 12.7
        },
        "HOUSINSECU": {
          "lo": 6.8,
          "hi": 10.2
        }
      },
      "rank": 7
    },
    {
      "fips": "34029",
      "name": "Ocean",
      "population": 659197,
      "priorityIndex": 44.1,
      "burdenScore": 55.1,
      "accessScore": 27.3,
      "shortageScore": 50.0,
      "topDriver": "Health burden",
      "hpsaMaxScore": 13,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 11.4,
        "OBESITY": 29.8,
        "BPHIGH": 35.0,
        "CHD": 7.0,
        "GHLTH": 17.3,
        "PHLTH": 13.9,
        "ACCESS2": 9.5,
        "LACKTRPT": 6.6,
        "FOODINSECU": 11.9,
        "HOUSINSECU": 9.8,
        "ACS_POVERTY": 10.4,
        "ACS_NOVEHICLE": 5.9
      },
      "ci": {
        "DIABETES": {
          "lo": 9.9,
          "hi": 13.2
        },
        "OBESITY": {
          "lo": 25.5,
          "hi": 34.1
        },
        "BPHIGH": {
          "lo": 31.9,
          "hi": 38.2
        },
        "CHD": {
          "lo": 6.1,
          "hi": 8.0
        },
        "GHLTH": {
          "lo": 14.5,
          "hi": 20.2
        },
        "PHLTH": {
          "lo": 12.1,
          "hi": 16.0
        },
        "ACCESS2": {
          "lo": 7.4,
          "hi": 11.9
        },
        "LACKTRPT": {
          "lo": 5.5,
          "hi": 7.9
        },
        "FOODINSECU": {
          "lo": 9.4,
          "hi": 14.7
        },
        "HOUSINSECU": {
          "lo": 8.0,
          "hi": 11.7
        }
      },
      "rank": 8
    },
    {
      "fips": "34021",
      "name": "Mercer",
      "population": 381671,
      "priorityIndex": 42.6,
      "burdenScore": 28.9,
      "accessScore": 45.0,
      "shortageScore": 53.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 14,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 11.1,
        "OBESITY": 25.4,
        "BPHIGH": 31.2,
        "CHD": 5.4,
        "GHLTH": 17.3,
        "PHLTH": 11.8,
        "ACCESS2": 11.4,
        "LACKTRPT": 7.8,
        "FOODINSECU": 15.2,
        "HOUSINSECU": 13.3,
        "ACS_POVERTY": 11.1,
        "ACS_NOVEHICLE": 11.8
      },
      "ci": {
        "DIABETES": {
          "lo": 9.7,
          "hi": 12.7
        },
        "OBESITY": {
          "lo": 21.5,
          "hi": 29.7
        },
        "BPHIGH": {
          "lo": 28.2,
          "hi": 34.2
        },
        "CHD": {
          "lo": 4.8,
          "hi": 6.1
        },
        "GHLTH": {
          "lo": 15.1,
          "hi": 20.0
        },
        "PHLTH": {
          "lo": 10.3,
          "hi": 13.4
        },
        "ACCESS2": {
          "lo": 9.3,
          "hi": 13.6
        },
        "LACKTRPT": {
          "lo": 6.6,
          "hi": 9.0
        },
        "FOODINSECU": {
          "lo": 12.5,
          "hi": 18.1
        },
        "HOUSINSECU": {
          "lo": 11.1,
          "hi": 15.5
        }
      },
      "rank": 9
    },
    {
      "fips": "34007",
      "name": "Camden",
      "population": 527196,
      "priorityIndex": 41.8,
      "burdenScore": 44.8,
      "accessScore": 49.9,
      "shortageScore": 30.8,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 8,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 11.4,
        "OBESITY": 29.8,
        "BPHIGH": 33.4,
        "CHD": 5.7,
        "GHLTH": 18.3,
        "PHLTH": 13.2,
        "ACCESS2": 11.6,
        "LACKTRPT": 8.4,
        "FOODINSECU": 16.4,
        "HOUSINSECU": 14.1,
        "ACS_POVERTY": 12.2,
        "ACS_NOVEHICLE": 10.6
      },
      "ci": {
        "DIABETES": {
          "lo": 9.9,
          "hi": 12.9
        },
        "OBESITY": {
          "lo": 25.3,
          "hi": 34.1
        },
        "BPHIGH": {
          "lo": 30.4,
          "hi": 36.4
        },
        "CHD": {
          "lo": 5.0,
          "hi": 6.5
        },
        "GHLTH": {
          "lo": 15.6,
          "hi": 21.1
        },
        "PHLTH": {
          "lo": 11.4,
          "hi": 15.0
        },
        "ACCESS2": {
          "lo": 9.4,
          "hi": 14.0
        },
        "LACKTRPT": {
          "lo": 7.1,
          "hi": 9.7
        },
        "FOODINSECU": {
          "lo": 13.6,
          "hi": 19.6
        },
        "HOUSINSECU": {
          "lo": 11.8,
          "hi": 16.5
        }
      },
      "rank": 10
    },
    {
      "fips": "34017",
      "name": "Hudson",
      "population": 705472,
      "priorityIndex": 41.7,
      "burdenScore": 24.4,
      "accessScore": 73.9,
      "shortageScore": 26.9,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 7,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 10.5,
        "OBESITY": 27.9,
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        "ACS_NOVEHICLE": 33.2
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      "ci": {
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      },
      "rank": 11
    },
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      "fips": "34023",
      "name": "Middlesex",
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      "topDriver": "Provider shortage",
      "hpsaMaxScore": 12,
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      "rank": 14
    },
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      "topDriver": "Provider shortage",
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        "GHLTH": {
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      "rank": 15
    },
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      "topDriver": "Provider shortage",
      "hpsaMaxScore": 12,
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      "raw": {
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      "ci": {
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        "LACKTRPT": {
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      "rank": 16
    },
    {
      "fips": "34015",
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      "population": 308423,
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      "accessScore": 22.6,
      "shortageScore": 0.0,
      "topDriver": "Health burden",
      "hpsaMaxScore": 0,
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      "raw": {
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        "ACS_NOVEHICLE": 5.3
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      "ci": {
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        "OBESITY": {
          "lo": 26.5,
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        "BPHIGH": {
          "lo": 33.2,
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        "CHD": {
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        },
        "GHLTH": {
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        "PHLTH": {
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        "ACCESS2": {
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        "FOODINSECU": {
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        "HOUSINSECU": {
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      },
      "rank": 17
    },
    {
      "fips": "34025",
      "name": "Monmouth",
      "population": 642799,
      "priorityIndex": 19.1,
      "burdenScore": 26.2,
      "accessScore": 12.0,
      "shortageScore": 19.2,
      "topDriver": "Health burden",
      "hpsaMaxScore": 5,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 9.8,
        "OBESITY": 30.4,
        "BPHIGH": 32.9,
        "CHD": 5.7,
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        "ACS_NOVEHICLE": 6.5
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      "ci": {
        "DIABETES": {
          "lo": 8.4,
          "hi": 11.3
        },
        "OBESITY": {
          "lo": 26.3,
          "hi": 34.7
        },
        "BPHIGH": {
          "lo": 29.9,
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        },
        "CHD": {
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        },
        "GHLTH": {
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        "PHLTH": {
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        },
        "ACCESS2": {
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        "LACKTRPT": {
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        "FOODINSECU": {
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        "HOUSINSECU": {
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      },
      "rank": 18
    },
    {
      "fips": "34037",
      "name": "Sussex",
      "population": 146132,
      "priorityIndex": 12.9,
      "burdenScore": 26.8,
      "accessScore": 11.8,
      "shortageScore": 0.0,
      "topDriver": "Health burden",
      "hpsaMaxScore": 0,
      "hpsaDesignations": 0,
      "raw": {
        "DIABETES": 9.5,
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        "BPHIGH": 33.3,
        "CHD": 5.8,
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        "ACS_POVERTY": 5.4,
        "ACS_NOVEHICLE": 3.2
      },
      "ci": {
        "DIABETES": {
          "lo": 7.9,
          "hi": 11.2
        },
        "OBESITY": {
          "lo": 21.2,
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        "BPHIGH": {
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          "hi": 37.3
        },
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        },
        "GHLTH": {
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        "FOODINSECU": {
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        "HOUSINSECU": {
          "lo": 7.3,
          "hi": 10.9
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      },
      "rank": 19
    },
    {
      "fips": "34003",
      "name": "Bergen",
      "population": 957736,
      "priorityIndex": 12.7,
      "burdenScore": 17.6,
      "accessScore": 20.4,
      "shortageScore": 0.0,
      "topDriver": "Access & SDOH barriers",
      "hpsaMaxScore": 0,
      "hpsaDesignations": 0,
      "raw": {
        "DIABETES": 9.7,
        "OBESITY": 25.6,
        "BPHIGH": 32.5,
        "CHD": 5.2,
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        "ACS_NOVEHICLE": 7.6
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      "ci": {
        "DIABETES": {
          "lo": 8.5,
          "hi": 11.2
        },
        "OBESITY": {
          "lo": 22.1,
          "hi": 29.6
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        "BPHIGH": {
          "lo": 29.8,
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        },
        "CHD": {
          "lo": 4.5,
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        },
        "GHLTH": {
          "lo": 12.5,
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        "PHLTH": {
          "lo": 9.1,
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        },
        "ACCESS2": {
          "lo": 7.8,
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        },
        "LACKTRPT": {
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        "FOODINSECU": {
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        "HOUSINSECU": {
          "lo": 8.2,
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      },
      "rank": 20
    },
    {
      "fips": "34027",
      "name": "Morris",
      "population": 514423,
      "priorityIndex": 12.2,
      "burdenScore": 6.0,
      "accessScore": 7.5,
      "shortageScore": 23.1,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 6,
      "hpsaDesignations": 1,
      "raw": {
        "DIABETES": 9.0,
        "OBESITY": 22.8,
        "BPHIGH": 31.0,
        "CHD": 5.1,
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        "ACS_NOVEHICLE": 5.2
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      "ci": {
        "DIABETES": {
          "lo": 7.7,
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        "OBESITY": {
          "lo": 18.8,
          "hi": 26.9
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        "BPHIGH": {
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        "CHD": {
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        "GHLTH": {
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          "hi": 15.3
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        "PHLTH": {
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          "hi": 11.9
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        "ACCESS2": {
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        "LACKTRPT": {
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        "FOODINSECU": {
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        "HOUSINSECU": {
          "lo": 6.2,
          "hi": 9.2
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      },
      "rank": 21
    }
  ],
  "faq": [
    {
      "question": "What does the New Jersey county health-access scorecard measure?",
      "answer": "It ranks all 21 New Jersey counties by a combined Targeting-Priority Index that fuses adult chronic-disease and social-risk prevalence from CDC PLACES with federally designated primary-care provider shortages from HRSA, highlighting where health need and thin provider supply overlap."
    },
    {
      "question": "Which public datasets is it built from?",
      "answer": "CDC PLACES county estimates (PLACES: Local Data for Better Health, County Data, 2025 release, measure year 2023) and the HRSA Primary Care Health Professional Shortage Area detail file, both fully open federal sources accessed 2026-08-01."
    },
    {
      "question": "How should the Targeting-Priority Index be used?",
      "answer": "As a transparent first-pass screen for where to focus outreach, workforce, or program resources. Scores are relative within the state and equal-weighted by default; a real engagement would calibrate weights to a program's goals and add socioeconomic and utilization layers."
    }
  ],
  "contentHash": "320632d845732028"
}