{ "slug": "ohio-county-primary-care-access-2026", "title": "Ohio County Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for Ohio, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 88 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "Ohio", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "ohio" ], "publishedDate": "2026-08-01", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-08-01T06:59:05+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 Ohio: 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": 88, "countiesWithHpsa": 80, "countiesWithHpsaPct": 91, "medianDiabetes": 13.8, "diabetesMin": { "county": "Delaware", "value": 10.1 }, "diabetesMax": { "county": "Noble", "value": 18.0 }, "medianUninsured": 8.4 }, "keyFindings": [ "80 of Ohio's 88 counties (91%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 10.1% in Delaware County to 18.0% in Noble County, a 7.9-point spread within a single state.", "Meigs County carries the highest combined targeting-priority index (78.1/100), led by its health burden score.", "The median county uninsured rate (adults 18-64) is 8.4%, and the median adult diabetes prevalence is 13.8%." ], "counties": [ { "fips": "39105", "name": "Meigs", "population": 21767, "priorityIndex": 78.1, "burdenScore": 90.3, "accessScore": 74.8, "shortageScore": 69.2, "topDriver": "Health burden", "hpsaMaxScore": 18, "hpsaDesignations": 1, "raw": { "DIABETES": 17.3, "OBESITY": 44.5, "BPHIGH": 45.1, "CHD": 10.3, "GHLTH": 27.2, "PHLTH": 18.5, "ACCESS2": 9.6, "LACKTRPT": 9.6, "FOODINSECU": 18.7, "HOUSINSECU": 13.1, "ACS_POVERTY": 22.0, "ACS_NOVEHICLE": 6.4 }, "ci": { "DIABETES": { "lo": 15.0, "hi": 19.5 }, "OBESITY": { "lo": 37.8, "hi": 51.0 }, "BPHIGH": { "lo": 41.0, "hi": 49.1 }, "CHD": { "lo": 9.1, "hi": 11.6 }, "GHLTH": { "lo": 23.4, "hi": 31.3 }, "PHLTH": { "lo": 16.2, "hi": 20.9 }, "ACCESS2": { "lo": 7.4, "hi": 12.3 }, "LACKTRPT": { "lo": 8.0, "hi": 11.2 }, "FOODINSECU": { "lo": 15.1, "hi": 22.7 }, "HOUSINSECU": { "lo": 10.8, "hi": 15.6 } }, "rank": 1 }, { "fips": "39131", "name": "Pike", "population": 27001, "priorityIndex": 77.3, "burdenScore": 81.1, "accessScore": 77.8, "shortageScore": 73.1, "topDriver": "Health burden", "hpsaMaxScore": 19, "hpsaDesignations": 2, "raw": { "DIABETES": 16.2, "OBESITY": 43.2, "BPHIGH": 43.7, "CHD": 9.6, "GHLTH": 25.8, "PHLTH": 18.1, "ACCESS2": 10.2, "LACKTRPT": 10.1, "FOODINSECU": 19.4, "HOUSINSECU": 13.6, "ACS_POVERTY": 19.9, "ACS_NOVEHICLE": 6.4 }, "ci": { "DIABETES": { "lo": 13.8, "hi": 18.5 }, "OBESITY": { "lo": 35.8, "hi": 50.7 }, "BPHIGH": { "lo": 39.4, "hi": 47.9 }, "CHD": { "lo": 8.5, "hi": 10.9 }, "GHLTH": { "lo": 21.8, "hi": 30.1 }, "PHLTH": { "lo": 15.7, "hi": 20.7 }, "ACCESS2": { "lo": 7.6, "hi": 13.0 }, "LACKTRPT": { "lo": 8.4, "hi": 11.8 }, "FOODINSECU": { "lo": 15.4, "hi": 23.7 }, "HOUSINSECU": { "lo": 11.0, "hi": 16.3 } }, "rank": 2 }, { "fips": "39145", "name": "Scioto", "population": 71969, "priorityIndex": 75.0, "burdenScore": 77.5, "accessScore": 74.5, "shortageScore": 73.1, "topDriver": "Health burden", "hpsaMaxScore": 19, "hpsaDesignations": 4, "raw": { "DIABETES": 15.3, "OBESITY": 44.7, "BPHIGH": 43.6, "CHD": 9.0, "GHLTH": 24.9, "PHLTH": 17.6, "ACCESS2": 9.5, "LACKTRPT": 9.6, "FOODINSECU": 18.3, "HOUSINSECU": 13.0, "ACS_POVERTY": 22.4, "ACS_NOVEHICLE": 7.0 }, "ci": { "DIABETES": { "lo": 13.3, "hi": 17.5 }, "OBESITY": { "lo": 39.0, "hi": 50.5 }, "BPHIGH": { "lo": 39.9, "hi": 47.3 }, "CHD": { "lo": 7.8, "hi": 10.2 }, "GHLTH": { "lo": 21.1, "hi": 29.0 }, "PHLTH": { "lo": 15.3, "hi": 20.2 }, "ACCESS2": { "lo": 7.3, "hi": 12.4 }, "LACKTRPT": { "lo": 8.1, "hi": 11.3 }, "FOODINSECU": { "lo": 14.8, "hi": 22.4 }, "HOUSINSECU": { "lo": 10.7, "hi": 15.6 } }, "rank": 3 }, { "fips": "39007", "name": "Ashtabula", "population": 96845, "priorityIndex": 68.3, "burdenScore": 77.5, "accessScore": 69.7, "shortageScore": 57.7, "topDriver": "Health burden", "hpsaMaxScore": 15, "hpsaDesignations": 1, "raw": { "DIABETES": 16.2, "OBESITY": 45.8, "BPHIGH": 41.7, "CHD": 9.2, "GHLTH": 24.6, "PHLTH": 16.9, "ACCESS2": 10.0, "LACKTRPT": 9.2, "FOODINSECU": 17.6, "HOUSINSECU": 12.9, "ACS_POVERTY": 18.3, "ACS_NOVEHICLE": 7.8 }, "ci": { "DIABETES": { "lo": 14.0, "hi": 18.3 }, "OBESITY": { "lo": 38.6, "hi": 52.8 }, "BPHIGH": { "lo": 37.6, "hi": 45.7 }, "CHD": { "lo": 8.2, "hi": 10.5 }, "GHLTH": { "lo": 20.9, "hi": 28.4 }, "PHLTH": { "lo": 14.6, "hi": 19.1 }, "ACCESS2": { "lo": 7.8, "hi": 12.6 }, "LACKTRPT": { "lo": 7.6, "hi": 10.8 }, "FOODINSECU": { "lo": 14.0, "hi": 21.4 }, "HOUSINSECU": { "lo": 10.5, "hi": 15.5 } }, "rank": 4 }, { "fips": "39001", "name": "Adams", "population": 27521, "priorityIndex": 66.5, "burdenScore": 70.4, "accessScore": 71.4, "shortageScore": 57.7, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 15, "hpsaDesignations": 2, "raw": { "DIABETES": 15.7, "OBESITY": 40.3, "BPHIGH": 40.6, "CHD": 9.2, "GHLTH": 25.0, "PHLTH": 17.4, "ACCESS2": 9.6, "LACKTRPT": 9.3, "FOODINSECU": 18.0, "HOUSINSECU": 12.9, "ACS_POVERTY": 20.3, "ACS_NOVEHICLE": 7.4 }, "ci": { "DIABETES": { "lo": 13.7, "hi": 17.9 }, "OBESITY": { "lo": 33.4, "hi": 47.2 }, "BPHIGH": { "lo": 36.7, "hi": 44.5 }, "CHD": { "lo": 8.1, "hi": 10.4 }, "GHLTH": { "lo": 21.2, "hi": 29.3 }, "PHLTH": { "lo": 15.1, "hi": 19.9 }, "ACCESS2": { "lo": 7.2, "hi": 12.3 }, "LACKTRPT": { "lo": 7.7, "hi": 11.0 }, "FOODINSECU": { "lo": 14.2, "hi": 21.9 }, "HOUSINSECU": { "lo": 10.4, "hi": 15.4 } }, "rank": 5 }, { "fips": "39087", "name": "Lawrence", "population": 56118, "priorityIndex": 66.5, "burdenScore": 68.0, "accessScore": 58.5, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 3, "raw": { "DIABETES": 15.1, "OBESITY": 41.6, "BPHIGH": 42.9, "CHD": 8.6, "GHLTH": 23.7, "PHLTH": 16.3, "ACCESS2": 8.6, "LACKTRPT": 8.4, "FOODINSECU": 16.1, "HOUSINSECU": 12.1, "ACS_POVERTY": 17.5, "ACS_NOVEHICLE": 6.3 }, "ci": { "DIABETES": { "lo": 13.0, "hi": 17.2 }, "OBESITY": { "lo": 35.7, "hi": 47.2 }, "BPHIGH": { "lo": 39.1, "hi": 46.6 }, "CHD": { "lo": 7.5, "hi": 9.8 }, "GHLTH": { "lo": 20.2, "hi": 27.6 }, "PHLTH": { "lo": 14.1, "hi": 18.7 }, "ACCESS2": { "lo": 6.5, "hi": 11.2 }, "LACKTRPT": { "lo": 7.0, "hi": 9.9 }, "FOODINSECU": { "lo": 12.8, "hi": 19.7 }, "HOUSINSECU": { "lo": 9.8, "hi": 14.6 } }, "rank": 6 }, { "fips": "39095", "name": "Lucas", "population": 425484, "priorityIndex": 66.2, "burdenScore": 45.4, "accessScore": 68.6, "shortageScore": 84.6, "topDriver": "Provider shortage", "hpsaMaxScore": 22, "hpsaDesignations": 122, "raw": { "DIABETES": 14.0, "OBESITY": 36.1, "BPHIGH": 37.2, "CHD": 7.5, "GHLTH": 21.7, "PHLTH": 14.6, "ACCESS2": 9.0, "LACKTRPT": 9.1, "FOODINSECU": 17.0, "HOUSINSECU": 13.8, "ACS_POVERTY": 17.8, "ACS_NOVEHICLE": 8.9 }, "ci": { "DIABETES": { "lo": 12.4, "hi": 15.8 }, "OBESITY": { "lo": 31.6, "hi": 40.6 }, "BPHIGH": { "lo": 34.2, "hi": 40.2 }, "CHD": { "lo": 6.6, "hi": 8.4 }, "GHLTH": { "lo": 18.7, "hi": 25.0 }, "PHLTH": { "lo": 12.7, "hi": 16.6 }, "ACCESS2": { "lo": 7.2, "hi": 11.1 }, "LACKTRPT": { "lo": 7.7, "hi": 10.6 }, "FOODINSECU": { "lo": 13.9, "hi": 20.4 }, "HOUSINSECU": { "lo": 11.5, "hi": 16.3 } }, "rank": 7 }, { "fips": "39023", "name": "Clark", "population": 134610, "priorityIndex": 66.0, "burdenScore": 64.2, "accessScore": 57.0, "shortageScore": 76.9, "topDriver": "Provider shortage", "hpsaMaxScore": 20, "hpsaDesignations": 2, "raw": { "DIABETES": 15.0, "OBESITY": 42.2, "BPHIGH": 41.6, "CHD": 8.4, "GHLTH": 22.4, "PHLTH": 15.8, "ACCESS2": 8.9, "LACKTRPT": 8.4, "FOODINSECU": 15.7, "HOUSINSECU": 12.0, "ACS_POVERTY": 15.6, "ACS_NOVEHICLE": 7.1 }, "ci": { "DIABETES": { "lo": 13.0, "hi": 17.2 }, "OBESITY": { "lo": 35.5, "hi": 49.1 }, "BPHIGH": { "lo": 37.5, "hi": 45.7 }, "CHD": { "lo": 7.4, "hi": 9.5 }, "GHLTH": { "lo": 19.1, "hi": 26.1 }, "PHLTH": { "lo": 13.7, "hi": 18.2 }, "ACCESS2": { "lo": 6.9, "hi": 11.1 }, "LACKTRPT": { "lo": 7.2, "hi": 9.8 }, "FOODINSECU": { "lo": 12.9, "hi": 19.1 }, "HOUSINSECU": { "lo": 10.2, "hi": 14.3 } }, "rank": 8 }, { "fips": "39141", "name": "Ross", "population": 76501, "priorityIndex": 65.1, "burdenScore": 64.8, "accessScore": 61.2, "shortageScore": 69.2, "topDriver": "Provider shortage", "hpsaMaxScore": 18, "hpsaDesignations": 4, "raw": { "DIABETES": 15.0, "OBESITY": 44.3, "BPHIGH": 40.7, "CHD": 8.1, "GHLTH": 22.3, "PHLTH": 15.7, "ACCESS2": 9.3, "LACKTRPT": 8.6, "FOODINSECU": 16.3, "HOUSINSECU": 12.5, "ACS_POVERTY": 16.8, "ACS_NOVEHICLE": 6.2 }, "ci": { "DIABETES": { "lo": 13.1, "hi": 17.1 }, "OBESITY": { "lo": 38.9, "hi": 50.0 }, "BPHIGH": { "lo": 37.2, "hi": 44.4 }, "CHD": { "lo": 7.1, "hi": 9.2 }, "GHLTH": { "lo": 19.0, "hi": 26.2 }, "PHLTH": { "lo": 13.6, "hi": 18.0 }, "ACCESS2": { "lo": 7.1, "hi": 11.7 }, "LACKTRPT": { "lo": 7.3, "hi": 10.2 }, "FOODINSECU": { "lo": 13.0, "hi": 20.0 }, "HOUSINSECU": { "lo": 10.2, "hi": 15.2 } }, "rank": 9 }, { "fips": "39031", "name": "Coshocton", "population": 36869, "priorityIndex": 64.9, "burdenScore": 68.5, "accessScore": 64.8, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 1, "raw": { "DIABETES": 15.3, "OBESITY": 41.5, "BPHIGH": 41.3, "CHD": 9.1, "GHLTH": 23.4, "PHLTH": 16.8, "ACCESS2": 9.4, "LACKTRPT": 8.7, "FOODINSECU": 16.2, "HOUSINSECU": 12.0, "ACS_POVERTY": 18.8, "ACS_NOVEHICLE": 10.7 }, "ci": { "DIABETES": { "lo": 13.1, "hi": 17.7 }, "OBESITY": { "lo": 34.2, "hi": 49.1 }, "BPHIGH": { "lo": 37.0, "hi": 45.4 }, "CHD": { "lo": 7.8, "hi": 10.3 }, "GHLTH": { "lo": 19.3, "hi": 27.7 }, "PHLTH": { "lo": 14.4, "hi": 19.4 }, "ACCESS2": { "lo": 7.0, "hi": 12.1 }, "LACKTRPT": { "lo": 7.2, "hi": 10.2 }, "FOODINSECU": { "lo": 12.8, "hi": 19.8 }, "HOUSINSECU": { "lo": 9.7, "hi": 14.3 } }, "rank": 10 }, { "fips": "39163", "name": "Vinton", "population": 12474, "priorityIndex": 64.9, "burdenScore": 67.7, "accessScore": 61.6, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 1, "raw": { "DIABETES": 15.4, "OBESITY": 40.3, "BPHIGH": 41.2, "CHD": 8.9, "GHLTH": 23.8, "PHLTH": 17.1, "ACCESS2": 9.5, "LACKTRPT": 8.8, "FOODINSECU": 17.0, "HOUSINSECU": 12.3, "ACS_POVERTY": 16.7, "ACS_NOVEHICLE": 4.3 }, "ci": { "DIABETES": { "lo": 13.3, "hi": 17.5 }, "OBESITY": { "lo": 32.7, "hi": 48.3 }, "BPHIGH": { "lo": 36.8, "hi": 45.4 }, "CHD": { "lo": 7.7, "hi": 10.1 }, "GHLTH": { "lo": 20.0, "hi": 27.7 }, "PHLTH": { "lo": 14.6, "hi": 19.4 }, "ACCESS2": { "lo": 7.2, "hi": 12.2 }, "LACKTRPT": { "lo": 7.2, "hi": 10.4 }, "FOODINSECU": { "lo": 13.3, "hi": 20.9 }, "HOUSINSECU": { "lo": 9.9, "hi": 14.8 } }, "rank": 11 }, { "fips": "39101", "name": "Marion", "population": 64851, "priorityIndex": 64.1, "burdenScore": 66.4, "accessScore": 60.4, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 3, "raw": { "DIABETES": 14.8, "OBESITY": 44.2, "BPHIGH": 41.3, "CHD": 8.3, "GHLTH": 22.6, "PHLTH": 16.1, "ACCESS2": 9.5, "LACKTRPT": 8.6, "FOODINSECU": 16.1, "HOUSINSECU": 12.4, "ACS_POVERTY": 15.3, "ACS_NOVEHICLE": 7.5 }, "ci": { "DIABETES": { "lo": 12.8, "hi": 16.9 }, "OBESITY": { "lo": 37.6, "hi": 51.1 }, "BPHIGH": { "lo": 37.3, "hi": 45.2 }, "CHD": { "lo": 7.2, "hi": 9.3 }, "GHLTH": { "lo": 19.2, "hi": 26.3 }, "PHLTH": { "lo": 13.9, "hi": 18.2 }, "ACCESS2": { "lo": 7.4, "hi": 12.1 }, "LACKTRPT": { "lo": 7.3, "hi": 10.0 }, "FOODINSECU": { "lo": 13.2, "hi": 19.3 }, "HOUSINSECU": { "lo": 10.4, "hi": 14.5 } }, "rank": 12 }, { "fips": "39035", "name": "Cuyahoga", "population": 1233088, "priorityIndex": 64.1, "burdenScore": 39.1, "accessScore": 64.6, "shortageScore": 88.5, "topDriver": "Provider shortage", "hpsaMaxScore": 23, "hpsaDesignations": 251, "raw": { "DIABETES": 13.4, "OBESITY": 35.3, "BPHIGH": 38.5, "CHD": 6.9, "GHLTH": 20.0, "PHLTH": 13.5, "ACCESS2": 8.4, "LACKTRPT": 8.7, "FOODINSECU": 16.7, "HOUSINSECU": 13.3, "ACS_POVERTY": 16.2, "ACS_NOVEHICLE": 12.1 }, "ci": { "DIABETES": { "lo": 11.8, "hi": 15.1 }, "OBESITY": { "lo": 31.6, "hi": 39.1 }, "BPHIGH": { "lo": 35.7, "hi": 41.3 }, "CHD": { "lo": 6.1, "hi": 7.8 }, "GHLTH": { "lo": 17.3, "hi": 22.9 }, "PHLTH": { "lo": 11.7, "hi": 15.3 }, "ACCESS2": { "lo": 6.7, "hi": 10.3 }, "LACKTRPT": { 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"HOUSINSECU": { "lo": 7.7, "hi": 11.6 } }, "rank": 81 }, { "fips": "39169", "name": "Wayne", "population": 116510, "priorityIndex": 27.1, "burdenScore": 42.3, "accessScore": 39.1, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 12.9, "OBESITY": 37.5, "BPHIGH": 37.1, "CHD": 7.6, "GHLTH": 19.7, "PHLTH": 14.4, "ACCESS2": 8.5, "LACKTRPT": 7.2, "FOODINSECU": 13.0, "HOUSINSECU": 9.9, "ACS_POVERTY": 8.7, "ACS_NOVEHICLE": 10.8 }, "ci": { "DIABETES": { "lo": 11.1, "hi": 15.0 }, "OBESITY": { "lo": 30.3, "hi": 44.9 }, "BPHIGH": { "lo": 33.1, "hi": 41.1 }, "CHD": { "lo": 6.6, "hi": 8.8 }, "GHLTH": { "lo": 16.3, "hi": 23.3 }, "PHLTH": { "lo": 12.4, "hi": 16.7 }, "ACCESS2": { "lo": 6.2, "hi": 11.3 }, "LACKTRPT": { "lo": 5.8, "hi": 8.7 }, "FOODINSECU": { "lo": 9.9, "hi": 16.5 }, "HOUSINSECU": { "lo": 7.9, "hi": 12.2 } }, "rank": 82 }, { "fips": "39069", "name": "Henry", "population": 27520, "priorityIndex": 25.9, "burdenScore": 44.3, "accessScore": 33.4, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 13.1, "OBESITY": 38.6, "BPHIGH": 38.1, "CHD": 7.6, "GHLTH": 19.1, "PHLTH": 14.4, "ACCESS2": 8.5, "LACKTRPT": 6.8, "FOODINSECU": 12.3, "HOUSINSECU": 10.2, "ACS_POVERTY": 8.4, "ACS_NOVEHICLE": 3.6 }, "ci": { "DIABETES": { "lo": 11.2, "hi": 15.1 }, "OBESITY": { "lo": 30.9, "hi": 46.6 }, "BPHIGH": { "lo": 33.9, "hi": 42.4 }, "CHD": { "lo": 6.6, "hi": 8.6 }, "GHLTH": { "lo": 15.9, "hi": 22.8 }, "PHLTH": { "lo": 12.3, "hi": 16.7 }, "ACCESS2": { "lo": 6.7, "hi": 10.4 }, "LACKTRPT": { "lo": 5.7, "hi": 8.0 }, "FOODINSECU": { "lo": 9.7, "hi": 15.2 }, "HOUSINSECU": { "lo": 8.3, "hi": 12.2 } }, "rank": 83 }, { "fips": "39051", "name": "Fulton", "population": 42007, "priorityIndex": 24.1, "burdenScore": 40.5, "accessScore": 31.7, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 13.3, "OBESITY": 37.0, "BPHIGH": 37.8, "CHD": 7.4, "GHLTH": 18.5, "PHLTH": 13.9, "ACCESS2": 8.5, "LACKTRPT": 6.6, "FOODINSECU": 12.1, "HOUSINSECU": 10.0, "ACS_POVERTY": 8.7, "ACS_NOVEHICLE": 2.5 }, "ci": { "DIABETES": { "lo": 11.4, "hi": 15.4 }, "OBESITY": { "lo": 29.9, "hi": 44.6 }, "BPHIGH": { "lo": 33.7, "hi": 42.1 }, "CHD": { "lo": 6.5, "hi": 8.4 }, "GHLTH": { "lo": 15.5, "hi": 21.8 }, "PHLTH": { "lo": 12.0, "hi": 16.0 }, "ACCESS2": { "lo": 6.7, "hi": 10.4 }, "LACKTRPT": { "lo": 5.6, "hi": 7.8 }, "FOODINSECU": { "lo": 9.6, "hi": 14.8 }, "HOUSINSECU": { "lo": 8.2, "hi": 12.0 } }, "rank": 84 }, { "fips": "39175", "name": "Wyandot", "population": 21457, "priorityIndex": 21.4, "burdenScore": 39.9, "accessScore": 24.4, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 13.0, "OBESITY": 35.6, "BPHIGH": 39.1, "CHD": 7.6, "GHLTH": 18.2, "PHLTH": 14.0, "ACCESS2": 7.4, "LACKTRPT": 6.3, "FOODINSECU": 11.1, "HOUSINSECU": 9.0, "ACS_POVERTY": 7.5, "ACS_NOVEHICLE": 4.4 }, "ci": { "DIABETES": { "lo": 11.2, "hi": 14.9 }, "OBESITY": { "lo": 28.2, "hi": 43.8 }, "BPHIGH": { "lo": 34.9, "hi": 43.3 }, "CHD": { "lo": 6.6, "hi": 8.6 }, "GHLTH": { "lo": 15.3, "hi": 21.6 }, "PHLTH": { "lo": 12.1, "hi": 16.1 }, "ACCESS2": { "lo": 5.8, "hi": 9.4 }, "LACKTRPT": { "lo": 5.2, "hi": 7.4 }, "FOODINSECU": { "lo": 8.7, "hi": 13.8 }, "HOUSINSECU": { "lo": 7.3, "hi": 10.8 } }, "rank": 85 }, { "fips": "39041", "name": "Delaware", "population": 231636, "priorityIndex": 20.6, "burdenScore": 0.0, "accessScore": 0.2, "shortageScore": 61.5, "topDriver": "Provider shortage", "hpsaMaxScore": 16, "hpsaDesignations": 2, "raw": { "DIABETES": 10.1, "OBESITY": 31.5, "BPHIGH": 31.3, "CHD": 5.0, "GHLTH": 12.0, "PHLTH": 9.8, "ACCESS2": 5.0, "LACKTRPT": 4.6, "FOODINSECU": 7.5, "HOUSINSECU": 6.8, "ACS_POVERTY": 5.0, "ACS_NOVEHICLE": 2.7 }, "ci": { "DIABETES": { "lo": 8.7, "hi": 11.4 }, "OBESITY": { "lo": 26.9, "hi": 36.1 }, "BPHIGH": { "lo": 28.3, "hi": 34.3 }, "CHD": { "lo": 4.4, "hi": 5.7 }, "GHLTH": { "lo": 9.8, "hi": 14.4 }, "PHLTH": { "lo": 8.4, "hi": 11.4 }, "ACCESS2": { "lo": 3.8, "hi": 6.6 }, "LACKTRPT": { "lo": 3.8, "hi": 5.6 }, "FOODINSECU": { "lo": 5.7, "hi": 9.7 }, "HOUSINSECU": { "lo": 5.4, "hi": 8.6 } }, "rank": 86 }, { "fips": "39055", "name": "Geauga", "population": 95407, "priorityIndex": 14.1, "burdenScore": 28.7, "accessScore": 13.5, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 12.4, "OBESITY": 32.6, "BPHIGH": 37.5, "CHD": 7.4, "GHLTH": 16.4, "PHLTH": 12.8, "ACCESS2": 6.4, "LACKTRPT": 5.3, "FOODINSECU": 9.0, "HOUSINSECU": 7.6, "ACS_POVERTY": 5.8, "ACS_NOVEHICLE": 8.5 }, "ci": { "DIABETES": { "lo": 10.5, "hi": 14.3 }, "OBESITY": { "lo": 26.2, "hi": 39.3 }, "BPHIGH": { "lo": 33.3, "hi": 41.7 }, "CHD": { "lo": 6.4, "hi": 8.5 }, "GHLTH": { "lo": 13.3, "hi": 20.0 }, "PHLTH": { "lo": 10.8, "hi": 14.9 }, "ACCESS2": { "lo": 4.6, "hi": 8.7 }, "LACKTRPT": { "lo": 4.3, "hi": 6.6 }, "FOODINSECU": { "lo": 6.7, "hi": 12.0 }, "HOUSINSECU": { "lo": 5.9, "hi": 9.6 } }, "rank": 87 }, { "fips": "39159", "name": "Union", "population": 69637, "priorityIndex": 13.7, "burdenScore": 16.4, "accessScore": 13.2, "shortageScore": 11.5, "topDriver": "Health burden", "hpsaMaxScore": 3, "hpsaDesignations": 1, "raw": { "DIABETES": 10.2, "OBESITY": 39.8, "BPHIGH": 32.0, "CHD": 5.2, "GHLTH": 14.1, "PHLTH": 11.4, "ACCESS2": 6.3, "LACKTRPT": 5.6, "FOODINSECU": 9.5, "HOUSINSECU": 8.6, "ACS_POVERTY": 5.1, "ACS_NOVEHICLE": 2.4 }, "ci": { "DIABETES": { "lo": 8.7, "hi": 11.7 }, "OBESITY": { "lo": 33.4, "hi": 46.7 }, "BPHIGH": { "lo": 28.3, "hi": 35.7 }, "CHD": { "lo": 4.5, "hi": 5.9 }, "GHLTH": { "lo": 11.7, "hi": 16.8 }, "PHLTH": { "lo": 9.7, "hi": 13.2 }, "ACCESS2": { "lo": 4.8, "hi": 8.0 }, "LACKTRPT": { "lo": 4.6, "hi": 6.8 }, "FOODINSECU": { "lo": 7.2, "hi": 12.1 }, "HOUSINSECU": { "lo": 6.8, "hi": 10.8 } }, "rank": 88 } ], "faq": [ { "question": "What does the Ohio county health-access scorecard measure?", "answer": "It ranks all 88 Ohio 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": "fd70daae3fdda684" }