{ "slug": "north-carolina-county-primary-care-access-2026", "title": "North Carolina County Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for North Carolina, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 100 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "North Carolina", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "north carolina" ], "publishedDate": "2026-08-01", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-08-01T06:58:57+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 North Carolina: 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": 100, "countiesWithHpsa": 98, "countiesWithHpsaPct": 98, "medianDiabetes": 13.4, "diabetesMin": { "county": "Onslow", "value": 8.6 }, "diabetesMax": { "county": "Washington", "value": 20.6 }, "medianUninsured": 11.1 }, "keyFindings": [ "98 of North Carolina's 100 counties (98%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 8.6% in Onslow County to 20.6% in Washington County, a 12.0-point spread within a single state.", "Robeson County carries the highest combined targeting-priority index (89.7/100), led by its provider shortage score.", "The median county uninsured rate (adults 18-64) is 11.1%, and the median adult diabetes prevalence is 13.4%." ], "counties": [ { "fips": "37155", "name": "Robeson", "population": 117365, "priorityIndex": 89.7, "burdenScore": 87.7, "accessScore": 89.1, "shortageScore": 92.3, "topDriver": "Provider shortage", "hpsaMaxScore": 24, "hpsaDesignations": 4, "raw": { "DIABETES": 18.4, "OBESITY": 47.9, "BPHIGH": 45.6, "CHD": 9.3, "GHLTH": 31.4, "PHLTH": 18.0, "ACCESS2": 16.2, "LACKTRPT": 17.0, "FOODINSECU": 30.3, "HOUSINSECU": 21.6, "ACS_POVERTY": 28.8, "ACS_NOVEHICLE": 8.0 }, "ci": { "DIABETES": { "lo": 16.3, "hi": 20.6 }, "OBESITY": { "lo": 42.5, "hi": 53.4 }, "BPHIGH": { "lo": 42.1, "hi": 49.1 }, "CHD": { "lo": 8.3, "hi": 10.3 }, "GHLTH": { "lo": 27.9, "hi": 35.0 }, "PHLTH": { "lo": 16.0, "hi": 20.2 }, "ACCESS2": { "lo": 13.5, "hi": 19.3 }, "LACKTRPT": { "lo": 14.9, "hi": 19.3 }, "FOODINSECU": { "lo": 26.3, "hi": 34.2 }, "HOUSINSECU": { "lo": 18.8, "hi": 24.6 } }, "rank": 1 }, { "fips": "37083", "name": "Halifax", "population": 47298, "priorityIndex": 82.9, "burdenScore": 85.4, "accessScore": 78.6, "shortageScore": 84.6, "topDriver": "Health burden", "hpsaMaxScore": 22, "hpsaDesignations": 3, "raw": { "DIABETES": 19.4, "OBESITY": 42.6, "BPHIGH": 49.7, "CHD": 9.8, "GHLTH": 29.4, "PHLTH": 17.2, "ACCESS2": 13.6, "LACKTRPT": 14.4, "FOODINSECU": 29.1, "HOUSINSECU": 20.8, "ACS_POVERTY": 25.2, "ACS_NOVEHICLE": 9.9 }, "ci": { "DIABETES": { "lo": 16.9, "hi": 22.1 }, "OBESITY": { "lo": 34.0, "hi": 51.1 }, "BPHIGH": { "lo": 45.1, "hi": 54.2 }, "CHD": { "lo": 8.6, "hi": 10.9 }, "GHLTH": { "lo": 25.6, "hi": 33.6 }, "PHLTH": { "lo": 15.1, "hi": 19.6 }, "ACCESS2": { "lo": 11.0, "hi": 16.5 }, "LACKTRPT": { "lo": 12.5, "hi": 16.4 }, "FOODINSECU": { "lo": 25.1, "hi": 33.3 }, "HOUSINSECU": { "lo": 18.1, "hi": 23.7 } }, "rank": 2 }, { "fips": "37187", "name": "Washington", "population": 10713, "priorityIndex": 82.6, "burdenScore": 93.9, "accessScore": 77.0, "shortageScore": 76.9, "topDriver": "Health burden", "hpsaMaxScore": 20, "hpsaDesignations": 1, "raw": { "DIABETES": 20.6, "OBESITY": 43.6, "BPHIGH": 51.8, "CHD": 11.1, "GHLTH": 29.7, "PHLTH": 17.6, "ACCESS2": 12.8, "LACKTRPT": 12.9, "FOODINSECU": 25.8, "HOUSINSECU": 18.3, "ACS_POVERTY": 24.7, "ACS_NOVEHICLE": 17.1 }, "ci": { "DIABETES": { "lo": 18.1, "hi": 23.3 }, "OBESITY": { "lo": 34.5, "hi": 52.7 }, "BPHIGH": { "lo": 47.1, "hi": 56.3 }, "CHD": { "lo": 9.8, "hi": 12.4 }, "GHLTH": { "lo": 25.9, "hi": 34.0 }, "PHLTH": { "lo": 15.5, "hi": 20.1 }, "ACCESS2": { "lo": 10.3, "hi": 15.4 }, "LACKTRPT": { "lo": 11.1, "hi": 14.8 }, "FOODINSECU": { "lo": 21.5, "hi": 29.9 }, "HOUSINSECU": { "lo": 15.4, "hi": 21.0 } }, "rank": 3 }, { "fips": "37165", "name": "Scotland", "population": 34376, "priorityIndex": 82.1, "burdenScore": 79.4, "accessScore": 82.2, "shortageScore": 84.6, "topDriver": "Provider shortage", "hpsaMaxScore": 22, "hpsaDesignations": 6, "raw": { "DIABETES": 17.4, "OBESITY": 45.2, "BPHIGH": 46.1, "CHD": 9.0, "GHLTH": 29.2, "PHLTH": 16.9, "ACCESS2": 14.2, "LACKTRPT": 14.9, "FOODINSECU": 28.3, "HOUSINSECU": 20.8, "ACS_POVERTY": 26.6, "ACS_NOVEHICLE": 11.3 }, "ci": { "DIABETES": { "lo": 15.1, "hi": 19.9 }, "OBESITY": { "lo": 36.7, "hi": 53.7 }, "BPHIGH": { "lo": 41.5, "hi": 50.7 }, "CHD": { "lo": 8.0, "hi": 10.1 }, "GHLTH": { "lo": 25.3, "hi": 33.4 }, "PHLTH": { "lo": 14.8, "hi": 19.3 }, "ACCESS2": { "lo": 11.7, "hi": 17.1 }, "LACKTRPT": { "lo": 13.0, "hi": 17.0 }, "FOODINSECU": { "lo": 24.2, "hi": 32.3 }, "HOUSINSECU": { "lo": 17.8, "hi": 23.8 } }, "rank": 4 }, { "fips": "37185", "name": "Warren", "population": 18836, "priorityIndex": 79.3, "burdenScore": 88.3, "accessScore": 65.1, "shortageScore": 84.6, "topDriver": "Health burden", "hpsaMaxScore": 22, "hpsaDesignations": 2, "raw": { "DIABETES": 20.0, "OBESITY": 43.9, "BPHIGH": 50.4, "CHD": 10.5, "GHLTH": 28.8, "PHLTH": 16.8, "ACCESS2": 12.7, "LACKTRPT": 12.8, "FOODINSECU": 25.7, "HOUSINSECU": 18.0, "ACS_POVERTY": 22.2, "ACS_NOVEHICLE": 8.3 }, "ci": { "DIABETES": { "lo": 17.4, "hi": 22.8 }, "OBESITY": { "lo": 35.2, "hi": 53.1 }, "BPHIGH": { "lo": 45.9, "hi": 55.1 }, "CHD": { "lo": 9.3, "hi": 11.8 }, "GHLTH": { "lo": 25.0, "hi": 32.9 }, "PHLTH": { "lo": 14.6, "hi": 19.1 }, "ACCESS2": { "lo": 10.4, "hi": 15.5 }, "LACKTRPT": { "lo": 11.1, "hi": 14.9 }, "FOODINSECU": { "lo": 21.8, "hi": 30.0 }, "HOUSINSECU": { "lo": 15.2, "hi": 21.1 } }, "rank": 5 }, { "fips": "37091", "name": "Hertford", "population": 19453, "priorityIndex": 78.2, "burdenScore": 77.7, "accessScore": 68.5, "shortageScore": 88.5, "topDriver": "Provider shortage", "hpsaMaxScore": 23, "hpsaDesignations": 2, "raw": { "DIABETES": 18.9, "OBESITY": 42.5, "BPHIGH": 48.1, "CHD": 9.1, "GHLTH": 27.7, "PHLTH": 16.0, "ACCESS2": 12.9, "LACKTRPT": 13.7, "FOODINSECU": 26.8, "HOUSINSECU": 19.5, "ACS_POVERTY": 21.4, "ACS_NOVEHICLE": 8.1 }, "ci": { "DIABETES": { "lo": 16.5, "hi": 21.5 }, "OBESITY": { "lo": 33.8, "hi": 51.6 }, "BPHIGH": { "lo": 43.6, "hi": 52.7 }, "CHD": { "lo": 8.1, "hi": 10.3 }, "GHLTH": { "lo": 23.8, "hi": 31.7 }, "PHLTH": { "lo": 13.9, "hi": 18.3 }, "ACCESS2": { "lo": 10.3, "hi": 16.0 }, "LACKTRPT": { "lo": 11.6, "hi": 16.0 }, "FOODINSECU": { "lo": 22.3, "hi": 31.7 }, "HOUSINSECU": { "lo": 16.4, "hi": 22.9 } }, "rank": 6 }, { "fips": "37065", "name": "Edgecombe", "population": 48832, "priorityIndex": 77.1, "burdenScore": 75.8, "accessScore": 70.8, "shortageScore": 84.6, "topDriver": "Provider shortage", "hpsaMaxScore": 22, "hpsaDesignations": 3, "raw": { "DIABETES": 17.9, "OBESITY": 43.7, "BPHIGH": 47.6, "CHD": 8.8, "GHLTH": 27.3, "PHLTH": 16.0, "ACCESS2": 13.0, "LACKTRPT": 13.2, "FOODINSECU": 26.2, "HOUSINSECU": 19.5, "ACS_POVERTY": 21.9, "ACS_NOVEHICLE": 10.8 }, "ci": { "DIABETES": { "lo": 15.6, "hi": 20.4 }, "OBESITY": { "lo": 35.2, "hi": 52.5 }, "BPHIGH": { "lo": 43.1, "hi": 51.9 }, "CHD": { "lo": 7.7, "hi": 9.9 }, "GHLTH": { "lo": 23.5, "hi": 31.3 }, "PHLTH": { "lo": 13.8, "hi": 18.1 }, "ACCESS2": { "lo": 10.5, "hi": 16.0 }, "LACKTRPT": { "lo": 11.3, "hi": 15.4 }, "FOODINSECU": { "lo": 21.8, "hi": 31.0 }, "HOUSINSECU": { "lo": 16.4, "hi": 23.0 } }, "rank": 7 }, { "fips": "37107", "name": "Lenoir", "population": 54895, "priorityIndex": 76.0, "burdenScore": 78.9, "accessScore": 68.2, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 2, "raw": { "DIABETES": 17.8, "OBESITY": 42.4, "BPHIGH": 46.9, "CHD": 9.5, "GHLTH": 28.6, "PHLTH": 16.9, "ACCESS2": 13.9, "LACKTRPT": 12.9, "FOODINSECU": 25.6, "HOUSINSECU": 18.6, "ACS_POVERTY": 22.5, "ACS_NOVEHICLE": 8.3 }, "ci": { "DIABETES": { "lo": 15.4, "hi": 20.2 }, "OBESITY": { "lo": 33.8, "hi": 51.0 }, "BPHIGH": { "lo": 42.3, "hi": 51.3 }, "CHD": { "lo": 8.3, "hi": 10.6 }, "GHLTH": { "lo": 24.7, "hi": 32.7 }, "PHLTH": { "lo": 14.6, "hi": 19.2 }, "ACCESS2": { "lo": 11.2, "hi": 16.6 }, "LACKTRPT": { "lo": 11.0, "hi": 14.9 }, "FOODINSECU": { "lo": 21.3, "hi": 29.8 }, "HOUSINSECU": { "lo": 15.7, "hi": 21.7 } }, "rank": 8 }, { "fips": "37007", "name": "Anson", "population": 21897, "priorityIndex": 75.5, "burdenScore": 74.6, "accessScore": 71.2, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 3, "raw": { "DIABETES": 17.2, "OBESITY": 43.3, "BPHIGH": 46.6, "CHD": 8.8, "GHLTH": 27.8, "PHLTH": 16.2, "ACCESS2": 14.0, "LACKTRPT": 13.6, "FOODINSECU": 27.0, "HOUSINSECU": 19.8, "ACS_POVERTY": 21.2, "ACS_NOVEHICLE": 8.6 }, "ci": { "DIABETES": { "lo": 15.1, "hi": 19.6 }, "OBESITY": { "lo": 34.4, "hi": 52.0 }, "BPHIGH": { "lo": 42.1, "hi": 51.0 }, "CHD": { "lo": 7.9, "hi": 9.8 }, "GHLTH": { "lo": 24.3, "hi": 31.4 }, "PHLTH": { "lo": 14.2, "hi": 18.3 }, "ACCESS2": { "lo": 11.5, "hi": 17.0 }, "LACKTRPT": { "lo": 11.8, "hi": 15.7 }, "FOODINSECU": { "lo": 22.9, "hi": 31.5 }, "HOUSINSECU": { "lo": 17.0, "hi": 23.0 } }, "rank": 9 }, { "fips": "37015", "name": "Bertie", "population": 16922, "priorityIndex": 74.7, "burdenScore": 82.5, "accessScore": 68.6, "shortageScore": 73.1, "topDriver": "Health burden", "hpsaMaxScore": 19, "hpsaDesignations": 3, "raw": { "DIABETES": 19.3, "OBESITY": 43.0, "BPHIGH": 50.0, "CHD": 9.6, "GHLTH": 28.5, "PHLTH": 16.2, "ACCESS2": 13.2, "LACKTRPT": 13.2, "FOODINSECU": 26.7, "HOUSINSECU": 19.2, "ACS_POVERTY": 19.8, "ACS_NOVEHICLE": 9.8 }, "ci": { "DIABETES": { "lo": 16.6, "hi": 22.2 }, "OBESITY": { "lo": 34.3, "hi": 52.8 }, "BPHIGH": { "lo": 45.5, "hi": 55.0 }, "CHD": { "lo": 8.4, "hi": 10.9 }, "GHLTH": { "lo": 24.4, "hi": 32.9 }, "PHLTH": { "lo": 14.0, "hi": 18.7 }, "ACCESS2": { "lo": 10.4, "hi": 16.6 }, "LACKTRPT": { "lo": 11.3, "hi": 15.3 }, "FOODINSECU": { "lo": 22.4, "hi": 31.2 }, "HOUSINSECU": { "lo": 16.2, "hi": 22.2 } }, "rank": 10 }, { "fips": "37079", "name": "Greene", "population": 20530, "priorityIndex": 73.3, "burdenScore": 66.5, "accessScore": 72.7, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 4, "raw": { "DIABETES": 15.9, "OBESITY": 42.8, "BPHIGH": 43.0, "CHD": 8.1, "GHLTH": 27.2, "PHLTH": 15.7, "ACCESS2": 16.9, "LACKTRPT": 13.3, "FOODINSECU": 26.1, "HOUSINSECU": 19.6, "ACS_POVERTY": 22.4, "ACS_NOVEHICLE": 5.8 }, "ci": { "DIABETES": { "lo": 13.9, "hi": 18.1 }, "OBESITY": { "lo": 33.9, "hi": 51.8 }, "BPHIGH": { "lo": 38.4, "hi": 47.3 }, "CHD": { "lo": 7.2, "hi": 9.1 }, "GHLTH": { "lo": 23.6, "hi": 30.9 }, "PHLTH": { "lo": 13.7, "hi": 17.8 }, "ACCESS2": { "lo": 14.0, "hi": 20.1 }, "LACKTRPT": { "lo": 11.4, "hi": 15.2 }, "FOODINSECU": { "lo": 22.1, "hi": 30.4 }, "HOUSINSECU": { "lo": 16.7, "hi": 22.5 } }, "rank": 11 }, { "fips": "37153", "name": "Richmond", "population": 42324, "priorityIndex": 71.8, "burdenScore": 71.0, "accessScore": 71.2, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 2, "raw": { "DIABETES": 16.4, "OBESITY": 42.9, "BPHIGH": 43.9, "CHD": 8.8, "GHLTH": 27.1, "PHLTH": 16.4, "ACCESS2": 13.4, "LACKTRPT": 12.8, "FOODINSECU": 24.8, "HOUSINSECU": 18.3, "ACS_POVERTY": 25.2, "ACS_NOVEHICLE": 11.2 }, "ci": { "DIABETES": { "lo": 14.1, "hi": 18.7 }, "OBESITY": { "lo": 34.4, "hi": 51.6 }, "BPHIGH": { "lo": 39.4, "hi": 48.3 }, "CHD": { "lo": 7.7, "hi": 9.9 }, "GHLTH": { "lo": 23.6, "hi": 30.9 }, "PHLTH": { "lo": 14.3, "hi": 18.6 }, "ACCESS2": { "lo": 10.8, "hi": 16.3 }, "LACKTRPT": { "lo": 11.2, "hi": 14.7 }, "FOODINSECU": { "lo": 21.3, "hi": 28.9 }, "HOUSINSECU": { "lo": 15.8, "hi": 21.1 } }, "rank": 12 }, { "fips": "37195", "name": "Wilson", "population": 78970, "priorityIndex": 69.8, "burdenScore": 66.5, "accessScore": 66.1, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 2, "raw": { "DIABETES": 16.8, "OBESITY": 38.4, "BPHIGH": 44.7, "CHD": 8.6, "GHLTH": 26.8, "PHLTH": 15.9, "ACCESS2": 13.8, "LACKTRPT": 12.6, "FOODINSECU": 24.9, "HOUSINSECU": 18.4, "ACS_POVERTY": 21.0, "ACS_NOVEHICLE": 8.6 }, "ci": { "DIABETES": { "lo": 14.6, "hi": 19.3 }, "OBESITY": { "lo": 30.4, "hi": 47.2 }, "BPHIGH": { "lo": 40.5, "hi": 49.4 }, "CHD": { "lo": 7.5, "hi": 9.6 }, "GHLTH": { "lo": 23.2, "hi": 30.6 }, "PHLTH": { "lo": 13.9, "hi": 18.2 }, "ACCESS2": { "lo": 11.5, "hi": 16.6 }, "LACKTRPT": { "lo": 10.7, "hi": 14.5 }, "FOODINSECU": { "lo": 20.9, "hi": 29.1 }, "HOUSINSECU": { "lo": 15.5, "hi": 21.4 } }, "rank": 13 }, { "fips": "37131", "name": "Northampton", "population": 16715, "priorityIndex": 69.0, "burdenScore": 87.9, "accessScore": 57.7, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 1, "raw": { "DIABETES": 20.3, "OBESITY": 42.7, "BPHIGH": 52.0, "CHD": 10.6, "GHLTH": 28.1, "PHLTH": 16.5, "ACCESS2": 11.7, "LACKTRPT": 11.8, "FOODINSECU": 23.9, "HOUSINSECU": 17.1, "ACS_POVERTY": 20.0, "ACS_NOVEHICLE": 8.0 }, "ci": { "DIABETES": { "lo": 17.6, "hi": 23.1 }, "OBESITY": { "lo": 33.8, "hi": 51.7 }, "BPHIGH": { "lo": 47.3, "hi": 56.5 }, "CHD": { "lo": 9.4, "hi": 12.0 }, "GHLTH": { "lo": 24.1, "hi": 32.3 }, "PHLTH": { "lo": 14.4, "hi": 18.9 }, "ACCESS2": { "lo": 9.2, "hi": 14.4 }, "LACKTRPT": { "lo": 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11.0, "burdenScore": 24.9, "accessScore": 8.2, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 10.7, "OBESITY": 34.5, "BPHIGH": 35.2, "CHD": 6.3, "GHLTH": 16.3, "PHLTH": 12.2, "ACCESS2": 8.1, "LACKTRPT": 6.0, "FOODINSECU": 10.2, "HOUSINSECU": 8.8, "ACS_POVERTY": 7.6, "ACS_NOVEHICLE": 2.0 }, "ci": { "DIABETES": { "lo": 9.0, "hi": 12.6 }, "OBESITY": { "lo": 26.5, "hi": 42.9 }, "BPHIGH": { "lo": 31.0, "hi": 39.6 }, "CHD": { "lo": 5.4, "hi": 7.3 }, "GHLTH": { "lo": 13.3, "hi": 19.6 }, "PHLTH": { "lo": 10.3, "hi": 14.3 }, "ACCESS2": { "lo": 6.3, "hi": 10.2 }, "LACKTRPT": { "lo": 5.0, "hi": 7.1 }, "FOODINSECU": { "lo": 8.0, "hi": 12.7 }, "HOUSINSECU": { "lo": 7.1, "hi": 10.6 } }, "rank": 99 }, { "fips": "37055", "name": "Dare", "population": 38110, "priorityIndex": 9.5, "burdenScore": 26.1, "accessScore": 2.5, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 11.2, "OBESITY": 31.6, "BPHIGH": 38.0, "CHD": 7.1, "GHLTH": 15.5, "PHLTH": 12.0, "ACCESS2": 7.3, "LACKTRPT": 5.1, "FOODINSECU": 8.6, "HOUSINSECU": 7.1, "ACS_POVERTY": 7.5, "ACS_NOVEHICLE": 2.2 }, "ci": { "DIABETES": { "lo": 9.4, "hi": 13.2 }, "OBESITY": { "lo": 24.3, "hi": 39.7 }, "BPHIGH": { "lo": 33.6, "hi": 42.7 }, "CHD": { "lo": 6.1, "hi": 8.2 }, "GHLTH": { "lo": 12.8, "hi": 18.8 }, "PHLTH": { "lo": 10.1, "hi": 14.1 }, "ACCESS2": { "lo": 5.5, "hi": 9.4 }, "LACKTRPT": { "lo": 4.2, "hi": 6.2 }, "FOODINSECU": { "lo": 6.7, "hi": 11.1 }, "HOUSINSECU": { "lo": 5.6, "hi": 8.8 } }, "rank": 100 } ], "faq": [ { "question": "What does the North Carolina county health-access scorecard measure?", "answer": "It ranks all 100 North Carolina 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": "f749f35141747641" }