{ "slug": "north-dakota-county-primary-care-access-2026", "title": "North Dakota County Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for North Dakota, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 53 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "North Dakota", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "north dakota" ], "publishedDate": "2026-08-01", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-08-01T06:58:58+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 Dakota: 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": 53, "countiesWithHpsa": 42, "countiesWithHpsaPct": 79, "medianDiabetes": 12.1, "diabetesMin": { "county": "Cass", "value": 7.9 }, "diabetesMax": { "county": "Sioux", "value": 20.2 }, "medianUninsured": 7.5 }, "keyFindings": [ "42 of North Dakota's 53 counties (79%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 7.9% in Cass County to 20.2% in Sioux County, a 12.3-point spread within a single state.", "Sioux County carries the highest combined targeting-priority index (93.8/100), led by its access & sdoh barriers score.", "The median county uninsured rate (adults 18-64) is 7.5%, and the median adult diabetes prevalence is 12.1%." ], "counties": [ { "fips": "38085", "name": "Sioux", "population": 3643, "priorityIndex": 93.8, "burdenScore": 92.8, "accessScore": 100.0, "shortageScore": 88.5, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 23, "hpsaDesignations": 4, "raw": { "DIABETES": 20.2, "OBESITY": 49.1, "BPHIGH": 41.3, "CHD": 9.9, "GHLTH": 36.8, "PHLTH": 21.4, "ACCESS2": 13.3, "LACKTRPT": 24.2, "FOODINSECU": 42.7, "HOUSINSECU": 28.6, "ACS_POVERTY": 42.7, "ACS_NOVEHICLE": 14.0 }, "ci": { "DIABETES": { "lo": 17.7, "hi": 22.8 }, "OBESITY": { "lo": 40.3, "hi": 58.2 }, "BPHIGH": { "lo": 37.0, "hi": 45.8 }, "CHD": { "lo": 8.8, "hi": 11.1 }, "GHLTH": { "lo": 32.5, "hi": 42.1 }, "PHLTH": { "lo": 18.8, "hi": 24.4 }, "ACCESS2": { "lo": 10.3, "hi": 16.6 }, "LACKTRPT": { "lo": 20.9, "hi": 27.7 }, "FOODINSECU": { "lo": 36.7, "hi": 48.6 }, "HOUSINSECU": { "lo": 24.3, "hi": 33.1 } }, "rank": 1 }, { "fips": "38079", "name": "Rolette", "population": 11728, "priorityIndex": 71.8, "burdenScore": 76.6, "accessScore": 61.9, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 4, "raw": { "DIABETES": 17.9, "OBESITY": 50.2, "BPHIGH": 40.3, "CHD": 8.5, "GHLTH": 29.9, "PHLTH": 18.2, "ACCESS2": 10.8, "LACKTRPT": 17.3, "FOODINSECU": 30.5, "HOUSINSECU": 21.5, "ACS_POVERTY": 25.1, "ACS_NOVEHICLE": 8.2 }, "ci": { "DIABETES": { "lo": 15.5, "hi": 20.3 }, "OBESITY": { "lo": 42.7, "hi": 57.7 }, "BPHIGH": { "lo": 36.1, "hi": 44.4 }, "CHD": { "lo": 7.5, "hi": 9.6 }, "GHLTH": { "lo": 25.6, "hi": 34.4 }, "PHLTH": { "lo": 15.8, "hi": 20.8 }, "ACCESS2": { "lo": 8.2, "hi": 14.1 }, "LACKTRPT": { "lo": 14.6, "hi": 20.1 }, "FOODINSECU": { "lo": 25.5, "hi": 35.8 }, "HOUSINSECU": { "lo": 18.1, "hi": 25.2 } }, "rank": 2 }, { "fips": "38005", "name": "Benson", "population": 5745, "priorityIndex": 62.5, "burdenScore": 62.9, "accessScore": 47.8, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 16, "raw": { "DIABETES": 15.4, "OBESITY": 43.3, "BPHIGH": 40.3, "CHD": 9.0, "GHLTH": 26.4, "PHLTH": 16.7, "ACCESS2": 9.8, "LACKTRPT": 13.2, "FOODINSECU": 23.5, "HOUSINSECU": 16.5, "ACS_POVERTY": 22.2, "ACS_NOVEHICLE": 8.5 }, "ci": { "DIABETES": { "lo": 13.2, "hi": 17.6 }, "OBESITY": { "lo": 35.1, "hi": 51.7 }, "BPHIGH": { "lo": 35.8, "hi": 44.6 }, "CHD": { "lo": 7.9, "hi": 10.1 }, "GHLTH": { "lo": 22.5, "hi": 30.6 }, "PHLTH": { "lo": 14.4, "hi": 19.1 }, "ACCESS2": { "lo": 7.7, "hi": 12.2 }, "LACKTRPT": { "lo": 11.3, "hi": 15.2 }, "FOODINSECU": { "lo": 19.5, "hi": 27.5 }, "HOUSINSECU": { "lo": 13.9, "hi": 19.4 } }, "rank": 3 }, { "fips": "38095", "name": "Towner", "population": 2030, "priorityIndex": 47.9, "burdenScore": 64.0, "accessScore": 18.1, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 2, "raw": { "DIABETES": 15.0, "OBESITY": 43.9, "BPHIGH": 43.3, "CHD": 10.1, "GHLTH": 22.4, "PHLTH": 15.3, "ACCESS2": 8.6, "LACKTRPT": 7.3, "FOODINSECU": 13.4, "HOUSINSECU": 9.7, "ACS_POVERTY": 11.5, "ACS_NOVEHICLE": 2.9 }, "ci": { "DIABETES": { "lo": 12.6, "hi": 17.5 }, "OBESITY": { "lo": 35.0, "hi": 52.9 }, "BPHIGH": { "lo": 38.4, "hi": 48.1 }, "CHD": { "lo": 8.7, "hi": 11.7 }, "GHLTH": { "lo": 18.5, "hi": 26.8 }, "PHLTH": { "lo": 13.0, "hi": 18.0 }, "ACCESS2": { "lo": 6.4, "hi": 10.9 }, "LACKTRPT": { "lo": 6.2, "hi": 8.6 }, "FOODINSECU": { "lo": 10.7, "hi": 16.5 }, "HOUSINSECU": { "lo": 7.9, "hi": 11.7 } }, "rank": 4 }, { "fips": "38051", "name": "McIntosh", "population": 2488, "priorityIndex": 47.5, "burdenScore": 53.6, "accessScore": 23.6, "shortageScore": 65.4, "topDriver": "Provider shortage", "hpsaMaxScore": 17, "hpsaDesignations": 3, "raw": { "DIABETES": 14.4, "OBESITY": 35.8, "BPHIGH": 42.4, "CHD": 10.1, "GHLTH": 22.0, "PHLTH": 15.2, "ACCESS2": 8.6, "LACKTRPT": 6.6, "FOODINSECU": 12.2, "HOUSINSECU": 8.7, "ACS_POVERTY": 15.4, "ACS_NOVEHICLE": 7.6 }, "ci": { "DIABETES": { "lo": 12.0, "hi": 16.8 }, "OBESITY": { "lo": 27.7, "hi": 44.4 }, "BPHIGH": { "lo": 37.5, "hi": 47.2 }, "CHD": { "lo": 8.7, "hi": 11.7 }, "GHLTH": { "lo": 18.0, "hi": 26.5 }, "PHLTH": { "lo": 12.8, "hi": 17.8 }, "ACCESS2": { "lo": 6.5, "hi": 11.0 }, "LACKTRPT": { "lo": 5.4, "hi": 7.8 }, "FOODINSECU": { "lo": 9.5, "hi": 15.2 }, "HOUSINSECU": { "lo": 7.0, "hi": 10.5 } }, "rank": 5 }, { "fips": "38037", "name": "Grant", "population": 2215, "priorityIndex": 46.3, "burdenScore": 65.8, "accessScore": 19.4, "shortageScore": 53.8, "topDriver": "Health burden", "hpsaMaxScore": 14, "hpsaDesignations": 1, "raw": { "DIABETES": 15.2, "OBESITY": 41.3, "BPHIGH": 44.5, "CHD": 11.0, "GHLTH": 22.8, "PHLTH": 15.5, "ACCESS2": 8.0, "LACKTRPT": 6.9, "FOODINSECU": 12.6, "HOUSINSECU": 8.9, "ACS_POVERTY": 17.4, "ACS_NOVEHICLE": 4.1 }, "ci": { "DIABETES": { "lo": 13.0, "hi": 17.7 }, "OBESITY": { "lo": 33.2, "hi": 50.2 }, "BPHIGH": { "lo": 39.9, "hi": 49.4 }, "CHD": { "lo": 9.5, "hi": 12.5 }, "GHLTH": { "lo": 18.9, "hi": 27.1 }, "PHLTH": { "lo": 13.2, "hi": 18.1 }, "ACCESS2": { "lo": 6.0, "hi": 10.4 }, "LACKTRPT": { "lo": 5.7, "hi": 8.3 }, "FOODINSECU": { "lo": 9.6, "hi": 16.0 }, "HOUSINSECU": { "lo": 7.1, "hi": 10.9 } }, "rank": 6 }, { "fips": "38061", "name": "Mountrail", "population": 9383, "priorityIndex": 46.1, "burdenScore": 39.9, "accessScore": 33.0, "shortageScore": 65.4, "topDriver": "Provider shortage", "hpsaMaxScore": 17, "hpsaDesignations": 18, "raw": { "DIABETES": 12.8, "OBESITY": 42.2, "BPHIGH": 34.7, "CHD": 6.9, "GHLTH": 21.5, "PHLTH": 14.1, "ACCESS2": 10.1, "LACKTRPT": 10.0, "FOODINSECU": 17.9, "HOUSINSECU": 14.2, "ACS_POVERTY": 13.2, "ACS_NOVEHICLE": 5.0 }, "ci": { "DIABETES": { "lo": 11.0, "hi": 14.8 }, "OBESITY": { "lo": 34.8, "hi": 49.9 }, "BPHIGH": { "lo": 30.7, "hi": 38.9 }, "CHD": { "lo": 6.1, "hi": 7.9 }, "GHLTH": { "lo": 18.5, "hi": 24.9 }, "PHLTH": { "lo": 12.3, "hi": 16.2 }, "ACCESS2": { "lo": 8.2, "hi": 12.6 }, "LACKTRPT": { "lo": 8.6, "hi": 11.7 }, "FOODINSECU": { "lo": 15.0, "hi": 21.4 }, "HOUSINSECU": { "lo": 12.0, "hi": 16.8 } }, "rank": 7 }, { "fips": "38071", "name": "Ramsey", "population": 11463, "priorityIndex": 45.2, "burdenScore": 40.7, "accessScore": 29.5, "shortageScore": 65.4, "topDriver": "Provider shortage", "hpsaMaxScore": 17, "hpsaDesignations": 5, "raw": { "DIABETES": 12.3, "OBESITY": 40.8, "BPHIGH": 36.8, "CHD": 8.1, "GHLTH": 19.3, "PHLTH": 13.5, "ACCESS2": 7.7, "LACKTRPT": 7.3, "FOODINSECU": 12.3, "HOUSINSECU": 9.7, "ACS_POVERTY": 16.3, "ACS_NOVEHICLE": 12.7 }, "ci": { "DIABETES": { "lo": 10.5, "hi": 14.3 }, "OBESITY": { "lo": 34.1, "hi": 47.8 }, "BPHIGH": { "lo": 32.9, "hi": 40.9 }, "CHD": { "lo": 7.0, "hi": 9.3 }, "GHLTH": { "lo": 16.2, "hi": 22.9 }, "PHLTH": { "lo": 11.7, "hi": 15.7 }, "ACCESS2": { "lo": 5.9, "hi": 10.0 }, "LACKTRPT": { "lo": 6.1, "hi": 8.6 }, "FOODINSECU": { "lo": 9.7, "hi": 15.4 }, "HOUSINSECU": { "lo": 7.8, "hi": 11.7 } }, "rank": 8 }, { "fips": "38027", "name": "Eddy", "population": 2263, "priorityIndex": 44.7, "burdenScore": 46.8, "accessScore": 21.8, "shortageScore": 65.4, "topDriver": "Provider shortage", "hpsaMaxScore": 17, "hpsaDesignations": 20, "raw": { "DIABETES": 13.5, "OBESITY": 38.7, "BPHIGH": 39.1, "CHD": 8.8, "GHLTH": 21.0, "PHLTH": 14.4, "ACCESS2": 8.1, "LACKTRPT": 7.4, "FOODINSECU": 13.3, "HOUSINSECU": 9.8, "ACS_POVERTY": 12.8, "ACS_NOVEHICLE": 6.3 }, "ci": { "DIABETES": { "lo": 11.4, "hi": 15.8 }, "OBESITY": { "lo": 30.7, "hi": 47.7 }, "BPHIGH": { "lo": 34.7, "hi": 43.8 }, "CHD": { "lo": 7.6, "hi": 10.1 }, "GHLTH": { "lo": 17.2, "hi": 24.8 }, "PHLTH": { "lo": 12.1, "hi": 16.6 }, "ACCESS2": { "lo": 6.0, "hi": 10.6 }, "LACKTRPT": { "lo": 6.2, "hi": 8.8 }, "FOODINSECU": { "lo": 10.5, "hi": 16.7 }, "HOUSINSECU": { "lo": 8.0, "hi": 12.1 } }, "rank": 9 }, { "fips": "38103", "name": "Wells", "population": 3876, "priorityIndex": 43.3, "burdenScore": 48.9, "accessScore": 15.5, "shortageScore": 65.4, "topDriver": "Provider shortage", "hpsaMaxScore": 17, "hpsaDesignations": 1, "raw": { "DIABETES": 13.8, "OBESITY": 37.8, "BPHIGH": 40.6, "CHD": 9.5, "GHLTH": 20.2, "PHLTH": 14.3, "ACCESS2": 7.3, "LACKTRPT": 6.1, "FOODINSECU": 10.9, "HOUSINSECU": 8.0, "ACS_POVERTY": 10.5, "ACS_NOVEHICLE": 6.6 }, "ci": { "DIABETES": { "lo": 11.8, "hi": 16.0 }, "OBESITY": { "lo": 30.5, "hi": 45.7 }, "BPHIGH": { "lo": 36.4, "hi": 45.0 }, "CHD": { "lo": 8.3, "hi": 10.8 }, "GHLTH": { "lo": 17.0, "hi": 24.0 }, "PHLTH": { "lo": 12.4, "hi": 16.6 }, "ACCESS2": { "lo": 5.5, "hi": 9.5 }, "LACKTRPT": { "lo": 5.1, "hi": 7.3 }, "FOODINSECU": { "lo": 8.5, "hi": 13.4 }, "HOUSINSECU": { "lo": 6.6, "hi": 9.7 } }, "rank": 10 }, { "fips": "38047", "name": "Logan", "population": 1869, "priorityIndex": 41.1, "burdenScore": 50.5, "accessScore": 15.0, "shortageScore": 57.7, "topDriver": "Provider shortage", "hpsaMaxScore": 15, "hpsaDesignations": 2, "raw": { "DIABETES": 13.2, "OBESITY": 39.8, "BPHIGH": 40.5, "CHD": 9.6, "GHLTH": 20.5, "PHLTH": 14.3, "ACCESS2": 8.1, "LACKTRPT": 6.6, "FOODINSECU": 11.7, "HOUSINSECU": 8.6, "ACS_POVERTY": 11.5, "ACS_NOVEHICLE": 3.2 }, "ci": { "DIABETES": { "lo": 11.2, "hi": 15.5 }, "OBESITY": { "lo": 31.7, "hi": 48.2 }, "BPHIGH": { "lo": 36.0, "hi": 45.1 }, "CHD": { "lo": 8.2, "hi": 11.1 }, "GHLTH": { "lo": 16.6, "hi": 25.0 }, "PHLTH": { "lo": 12.1, "hi": 16.8 }, "ACCESS2": { "lo": 6.0, "hi": 10.6 }, "LACKTRPT": { "lo": 5.4, "hi": 8.0 }, "FOODINSECU": { "lo": 9.0, "hi": 14.9 }, "HOUSINSECU": { "lo": 6.8, "hi": 10.6 } }, "rank": 11 }, { "fips": "38067", "name": "Pembina", "population": 6661, "priorityIndex": 40.1, "burdenScore": 46.1, "accessScore": 12.6, "shortageScore": 61.5, "topDriver": "Provider shortage", "hpsaMaxScore": 16, "hpsaDesignations": 3, "raw": { "DIABETES": 12.8, "OBESITY": 41.9, "BPHIGH": 38.5, "CHD": 8.6, "GHLTH": 19.8, "PHLTH": 13.7, "ACCESS2": 8.0, "LACKTRPT": 6.2, "FOODINSECU": 10.9, "HOUSINSECU": 8.6, "ACS_POVERTY": 8.7, "ACS_NOVEHICLE": 3.0 }, "ci": { "DIABETES": { "lo": 10.6, "hi": 14.8 }, "OBESITY": { "lo": 34.3, "hi": 49.7 }, "BPHIGH": { "lo": 34.1, "hi": 42.9 }, "CHD": { "lo": 7.4, "hi": 9.9 }, "GHLTH": { "lo": 16.2, "hi": 23.4 }, "PHLTH": { "lo": 11.5, "hi": 15.8 }, "ACCESS2": { "lo": 6.2, "hi": 10.2 }, "LACKTRPT": { "lo": 5.3, "hi": 7.4 }, "FOODINSECU": { "lo": 8.7, "hi": 13.9 }, "HOUSINSECU": { "lo": 7.0, "hi": 10.5 } }, "rank": 12 }, { "fips": "38057", "name": "Mercer", "population": 8309, "priorityIndex": 39.5, "burdenScore": 41.2, "accessScore": 12.0, "shortageScore": 65.4, "topDriver": "Provider shortage", "hpsaMaxScore": 17, "hpsaDesignations": 2, "raw": { "DIABETES": 12.2, "OBESITY": 39.8, "BPHIGH": 38.2, "CHD": 8.2, "GHLTH": 19.2, "PHLTH": 13.6, "ACCESS2": 7.5, "LACKTRPT": 6.4, "FOODINSECU": 11.2, "HOUSINSECU": 8.7, "ACS_POVERTY": 10.7, "ACS_NOVEHICLE": 2.5 }, "ci": { "DIABETES": { "lo": 10.3, "hi": 14.3 }, "OBESITY": { "lo": 32.3, "hi": 47.8 }, "BPHIGH": { "lo": 33.9, "hi": 42.7 }, "CHD": { "lo": 7.0, "hi": 9.4 }, "GHLTH": { "lo": 15.9, "hi": 22.9 }, "PHLTH": { "lo": 11.6, "hi": 15.8 }, "ACCESS2": { "lo": 5.6, 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"fips": "38099", "name": "Walsh", "population": 10305, "priorityIndex": 38.4, "burdenScore": 36.6, "accessScore": 20.9, "shortageScore": 57.7, "topDriver": "Provider shortage", "hpsaMaxScore": 15, "hpsaDesignations": 2, "raw": { "DIABETES": 12.4, "OBESITY": 35.8, "BPHIGH": 37.4, "CHD": 8.2, "GHLTH": 19.4, "PHLTH": 13.5, "ACCESS2": 9.9, "LACKTRPT": 6.7, "FOODINSECU": 12.3, "HOUSINSECU": 9.5, "ACS_POVERTY": 10.5, "ACS_NOVEHICLE": 4.0 }, "ci": { "DIABETES": { "lo": 10.5, "hi": 14.5 }, "OBESITY": { "lo": 28.7, "hi": 43.0 }, "BPHIGH": { "lo": 33.2, "hi": 41.6 }, "CHD": { "lo": 7.1, "hi": 9.5 }, "GHLTH": { "lo": 16.2, "hi": 23.2 }, "PHLTH": { "lo": 11.5, "hi": 15.7 }, "ACCESS2": { "lo": 7.7, "hi": 12.4 }, "LACKTRPT": { "lo": 5.6, "hi": 8.0 }, "FOODINSECU": { "lo": 9.8, "hi": 15.4 }, "HOUSINSECU": { "lo": 7.7, "hi": 11.5 } }, "rank": 15 }, { "fips": "38063", "name": "Nelson", "population": 2991, "priorityIndex": 38.3, "burdenScore": 41.4, "accessScore": 8.2, "shortageScore": 65.4, 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11.2, "OBESITY": 38.7, "BPHIGH": 35.1, "CHD": 7.3, "GHLTH": 17.4, "PHLTH": 12.6, "ACCESS2": 7.4, "LACKTRPT": 6.3, "FOODINSECU": 10.6, "HOUSINSECU": 8.3, "ACS_POVERTY": 10.8, "ACS_NOVEHICLE": 0.9 }, "ci": { "DIABETES": { "lo": 9.5, "hi": 13.2 }, "OBESITY": { "lo": 30.8, "hi": 46.8 }, "BPHIGH": { "lo": 31.0, "hi": 39.6 }, "CHD": { "lo": 6.3, "hi": 8.4 }, "GHLTH": { "lo": 14.4, "hi": 21.1 }, "PHLTH": { "lo": 10.8, "hi": 14.9 }, "ACCESS2": { "lo": 5.5, "hi": 9.9 }, "LACKTRPT": { "lo": 5.1, "hi": 7.5 }, "FOODINSECU": { "lo": 8.2, "hi": 13.4 }, "HOUSINSECU": { "lo": 6.6, "hi": 10.2 } }, "rank": 49 }, { "fips": "38089", "name": "Stark", "population": 33001, "priorityIndex": 12.9, "burdenScore": 18.5, "accessScore": 20.2, "shortageScore": 0.0, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 9.5, "OBESITY": 37.4, "BPHIGH": 31.7, "CHD": 6.0, "GHLTH": 16.9, "PHLTH": 11.7, "ACCESS2": 8.5, "LACKTRPT": 6.6, "FOODINSECU": 11.4, "HOUSINSECU": 9.7, "ACS_POVERTY": 11.0, "ACS_NOVEHICLE": 6.3 }, "ci": { "DIABETES": { "lo": 8.0, "hi": 11.0 }, "OBESITY": { "lo": 31.9, "hi": 43.5 }, "BPHIGH": { "lo": 28.4, "hi": 35.4 }, "CHD": { "lo": 5.2, "hi": 7.0 }, "GHLTH": { "lo": 14.0, "hi": 20.0 }, "PHLTH": { "lo": 10.0, "hi": 13.6 }, "ACCESS2": { "lo": 6.7, "hi": 10.9 }, "LACKTRPT": { "lo": 5.5, "hi": 7.8 }, "FOODINSECU": { "lo": 8.9, "hi": 14.2 }, "HOUSINSECU": { "lo": 7.9, "hi": 11.7 } }, "rank": 50 }, { "fips": "38097", "name": "Traill", "population": 7908, "priorityIndex": 11.3, "burdenScore": 24.6, "accessScore": 9.2, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 10.5, "OBESITY": 38.2, "BPHIGH": 34.3, "CHD": 6.8, "GHLTH": 15.4, "PHLTH": 11.9, "ACCESS2": 6.8, "LACKTRPT": 5.5, "FOODINSECU": 8.9, "HOUSINSECU": 7.5, "ACS_POVERTY": 6.9, "ACS_NOVEHICLE": 5.2 }, "ci": { "DIABETES": { "lo": 8.8, "hi": 12.2 }, "OBESITY": { "lo": 31.1, "hi": 45.3 }, "BPHIGH": { "lo": 30.4, "hi": 38.3 }, "CHD": { "lo": 5.9, "hi": 7.7 }, "GHLTH": { "lo": 12.7, "hi": 18.4 }, "PHLTH": { "lo": 10.1, "hi": 13.7 }, "ACCESS2": { "lo": 5.2, "hi": 9.0 }, "LACKTRPT": { "lo": 4.6, "hi": 6.6 }, "FOODINSECU": { "lo": 7.0, "hi": 11.2 }, "HOUSINSECU": { "lo": 6.1, "hi": 9.2 } }, "rank": 51 }, { "fips": "38059", "name": "Morton", "population": 33895, "priorityIndex": 9.5, "burdenScore": 19.9, "accessScore": 8.6, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 9.6, "OBESITY": 38.6, "BPHIGH": 32.6, "CHD": 6.2, "GHLTH": 15.7, "PHLTH": 11.3, "ACCESS2": 7.1, "LACKTRPT": 5.9, "FOODINSECU": 9.9, "HOUSINSECU": 8.6, "ACS_POVERTY": 7.0, "ACS_NOVEHICLE": 2.7 }, "ci": { "DIABETES": { "lo": 8.1, "hi": 11.2 }, "OBESITY": { "lo": 32.8, "hi": 44.8 }, "BPHIGH": { "lo": 29.1, "hi": 36.2 }, "CHD": { "lo": 5.3, "hi": 7.1 }, "GHLTH": { "lo": 13.0, "hi": 18.8 }, "PHLTH": { "lo": 9.6, "hi": 13.1 }, "ACCESS2": { "lo": 5.4, "hi": 9.0 }, "LACKTRPT": { "lo": 4.9, "hi": 7.0 }, "FOODINSECU": { "lo": 7.7, "hi": 12.5 }, "HOUSINSECU": { "lo": 6.9, "hi": 10.6 } }, "rank": 52 }, { "fips": "38101", "name": "Ward", "population": 68332, "priorityIndex": 7.5, "burdenScore": 9.5, "accessScore": 13.0, "shortageScore": 0.0, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 8.8, "OBESITY": 33.9, "BPHIGH": 31.4, "CHD": 5.3, "GHLTH": 15.0, "PHLTH": 11.0, "ACCESS2": 7.7, "LACKTRPT": 6.3, "FOODINSECU": 10.3, "HOUSINSECU": 9.0, "ACS_POVERTY": 7.8, "ACS_NOVEHICLE": 4.2 }, "ci": { "DIABETES": { "lo": 7.5, "hi": 10.4 }, "OBESITY": { "lo": 29.0, "hi": 39.5 }, "BPHIGH": { "lo": 28.2, "hi": 35.2 }, "CHD": { "lo": 4.6, "hi": 6.1 }, "GHLTH": { "lo": 12.7, "hi": 17.9 }, "PHLTH": { "lo": 9.4, "hi": 12.8 }, "ACCESS2": { "lo": 6.0, "hi": 9.9 }, "LACKTRPT": { "lo": 5.3, "hi": 7.5 }, "FOODINSECU": { "lo": 8.1, "hi": 12.8 }, "HOUSINSECU": { "lo": 7.4, "hi": 11.0 } }, "rank": 53 } ], "faq": [ { "question": "What does the North Dakota county health-access scorecard measure?", "answer": "It ranks all 53 North Dakota 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": "3494729b7881b2bc" }