{ "slug": "south-dakota-county-primary-care-access-2026", "title": "South Dakota County Primary-Care Access & Health-Burden Scorecard", "summary": "A county-level targeting index for South Dakota, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 66 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.", "state": "South Dakota", "category": "Public Health & Risk", "tags": [ "public-health", "health-access", "geospatial-risk", "government-data", "south dakota" ], "publishedDate": "2026-08-01", "accessAxisLabel": "Access & SDOH barriers", "generatedAt": "2026-08-01T06:59:09+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), 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 South 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.", "These candidate measures were unavailable for South Dakota in this release (BRFSS SDOH-module participation varies by state), so they are excluded from the index: Lack of reliable transportation, Food insecurity, Housing insecurity.", "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": "ACS_POVERTY", "label": "Below poverty (ACS)" }, { "id": "ACS_NOVEHICLE", "label": "Households without a vehicle (ACS)" } ] }, "stats": { "counties": 66, "countiesWithHpsa": 53, "countiesWithHpsaPct": 80, "medianDiabetes": 12.9, "diabetesMin": { "county": "Clay", "value": 8.1 }, "diabetesMax": { "county": "Oglala Lakota", "value": 21.1 }, "medianUninsured": 8.8 }, "keyFindings": [ "53 of South Dakota's 66 counties (80%) fall within a federally designated primary-care Health Professional Shortage Area.", "Adult diagnosed-diabetes prevalence ranges from 8.1% in Clay County to 21.1% in Oglala Lakota County, a 13.0-point spread within a single state.", "Todd County carries the highest combined targeting-priority index (84.7/100), led by its health burden score.", "The median county uninsured rate (adults 18-64) is 8.8%, and the median adult diabetes prevalence is 12.9%." ], "counties": [ { "fips": "46121", "name": "Todd", "population": 9199, "priorityIndex": 84.7, "burdenScore": 88.2, "accessScore": 81.2, "shortageScore": 84.6, "topDriver": "Health burden", "hpsaMaxScore": 22, "hpsaDesignations": 2, "raw": { "DIABETES": 20.7, "OBESITY": 49.3, "BPHIGH": 38.5, "CHD": 9.5, "GHLTH": 37.8, "PHLTH": 21.8, "ACCESS2": 17.6, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 49.0, "ACS_NOVEHICLE": 15.0 }, "ci": { "DIABETES": { "lo": 18.3, "hi": 23.3 }, "OBESITY": { "lo": 42.7, "hi": 56.2 }, "BPHIGH": { "lo": 34.6, "hi": 42.6 }, "CHD": { "lo": 8.4, "hi": 10.7 }, "GHLTH": { "lo": 32.6, "hi": 43.5 }, "PHLTH": { "lo": 18.8, "hi": 24.9 }, "ACCESS2": { "lo": 13.3, "hi": 22.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 1 }, { "fips": "46102", "name": "Oglala Lakota", "population": 13434, "priorityIndex": 83.7, "burdenScore": 89.6, "accessScore": 100.0, "shortageScore": 61.5, "topDriver": "Access & SDOH barriers", "hpsaMaxScore": 16, "hpsaDesignations": 4, "raw": { "DIABETES": 21.1, "OBESITY": 47.0, "BPHIGH": 38.9, "CHD": 9.7, "GHLTH": 39.7, "PHLTH": 22.5, "ACCESS2": 19.1, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 52.8, "ACS_NOVEHICLE": 23.4 }, "ci": { "DIABETES": { "lo": 18.8, "hi": 23.7 }, "OBESITY": { "lo": 40.9, "hi": 53.6 }, "BPHIGH": { "lo": 35.3, "hi": 42.9 }, "CHD": { "lo": 8.7, "hi": 10.9 }, "GHLTH": { "lo": 34.8, "hi": 44.7 }, "PHLTH": { "lo": 19.8, "hi": 25.5 }, "ACCESS2": { "lo": 14.7, "hi": 23.7 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 2 }, { "fips": "46031", "name": "Corson", "population": 3782, "priorityIndex": 75.3, "burdenScore": 80.3, "accessScore": 61.0, "shortageScore": 84.6, "topDriver": "Provider shortage", "hpsaMaxScore": 22, "hpsaDesignations": 4, "raw": { "DIABETES": 19.9, "OBESITY": 43.5, "BPHIGH": 40.1, "CHD": 10.4, "GHLTH": 32.6, "PHLTH": 20.0, "ACCESS2": 14.0, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 45.2, "ACS_NOVEHICLE": 9.5 }, "ci": { "DIABETES": { "lo": 17.6, "hi": 22.4 }, "OBESITY": { "lo": 36.2, "hi": 50.9 }, "BPHIGH": { "lo": 36.0, "hi": 44.2 }, "CHD": { "lo": 9.3, "hi": 11.6 }, "GHLTH": { "lo": 28.4, "hi": 37.0 }, "PHLTH": { "lo": 17.5, "hi": 22.6 }, "ACCESS2": { "lo": 11.1, "hi": 17.6 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 3 }, { "fips": "46095", "name": "Mellette", "population": 1851, "priorityIndex": 70.0, "burdenScore": 89.1, "accessScore": 59.3, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 1, "raw": { "DIABETES": 21.1, "OBESITY": 45.6, "BPHIGH": 42.5, "CHD": 11.5, "GHLTH": 32.7, "PHLTH": 20.3, "ACCESS2": 14.6, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 46.2, "ACS_NOVEHICLE": 6.8 }, "ci": { "DIABETES": { "lo": 18.6, "hi": 23.6 }, "OBESITY": { "lo": 37.6, "hi": 54.1 }, "BPHIGH": { "lo": 38.3, "hi": 46.9 }, "CHD": { "lo": 10.3, "hi": 12.8 }, "GHLTH": { "lo": 28.5, "hi": 36.8 }, "PHLTH": { "lo": 17.8, "hi": 22.9 }, "ACCESS2": { "lo": 11.8, "hi": 17.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 4 }, { "fips": "46137", "name": "Ziebach", "population": 2322, "priorityIndex": 68.3, "burdenScore": 76.9, "accessScore": 58.8, "shortageScore": 69.2, "topDriver": "Health burden", "hpsaMaxScore": 18, "hpsaDesignations": 4, "raw": { "DIABETES": 18.7, "OBESITY": 47.2, "BPHIGH": 39.4, "CHD": 9.2, "GHLTH": 31.7, "PHLTH": 19.3, "ACCESS2": 13.7, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 38.2, "ACS_NOVEHICLE": 11.7 }, "ci": { "DIABETES": { "lo": 16.5, "hi": 21.2 }, "OBESITY": { "lo": 39.5, "hi": 54.9 }, "BPHIGH": { "lo": 35.3, "hi": 43.5 }, "CHD": { "lo": 8.2, "hi": 10.4 }, "GHLTH": { "lo": 27.9, "hi": 35.9 }, "PHLTH": { "lo": 17.0, "hi": 21.9 }, "ACCESS2": { "lo": 10.8, "hi": 17.0 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 5 }, { "fips": "46017", "name": "Buffalo", "population": 1884, "priorityIndex": 66.3, "burdenScore": 69.4, "accessScore": 64.2, "shortageScore": 65.4, "topDriver": "Health burden", "hpsaMaxScore": 17, "hpsaDesignations": 2, "raw": { "DIABETES": 17.5, "OBESITY": 48.5, "BPHIGH": 35.6, "CHD": 8.0, "GHLTH": 31.4, "PHLTH": 18.9, "ACCESS2": 14.6, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 32.5, "ACS_NOVEHICLE": 16.3 }, "ci": { "DIABETES": { "lo": 15.2, "hi": 19.8 }, "OBESITY": { "lo": 40.1, "hi": 56.7 }, "BPHIGH": { "lo": 31.4, "hi": 39.8 }, "CHD": { "lo": 7.0, "hi": 8.9 }, "GHLTH": { "lo": 27.1, "hi": 36.0 }, "PHLTH": { "lo": 16.4, "hi": 21.4 }, "ACCESS2": { "lo": 11.6, "hi": 18.2 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 6 }, { "fips": "46071", "name": "Jackson", "population": 2776, "priorityIndex": 65.4, "burdenScore": 74.8, "accessScore": 59.9, "shortageScore": 61.5, "topDriver": "Health burden", "hpsaMaxScore": 16, "hpsaDesignations": 2, "raw": { "DIABETES": 18.6, "OBESITY": 40.9, "BPHIGH": 40.2, "CHD": 10.3, "GHLTH": 31.3, "PHLTH": 19.5, "ACCESS2": 13.9, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 37.5, "ACS_NOVEHICLE": 12.4 }, "ci": { "DIABETES": { "lo": 16.4, "hi": 21.1 }, "OBESITY": { "lo": 33.7, "hi": 48.7 }, "BPHIGH": { "lo": 36.1, "hi": 44.4 }, "CHD": { "lo": 9.2, "hi": 11.6 }, "GHLTH": { "lo": 27.5, "hi": 35.6 }, "PHLTH": { "lo": 17.1, "hi": 22.0 }, "ACCESS2": { "lo": 11.3, "hi": 16.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 7 }, { "fips": "46007", "name": "Bennett", "population": 3305, "priorityIndex": 63.6, "burdenScore": 72.7, "accessScore": 49.0, "shortageScore": 69.2, "topDriver": "Health burden", "hpsaMaxScore": 18, "hpsaDesignations": 3, "raw": { "DIABETES": 18.7, "OBESITY": 42.4, "BPHIGH": 38.9, "CHD": 9.8, "GHLTH": 30.4, "PHLTH": 19.1, "ACCESS2": 13.7, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 31.9, "ACS_NOVEHICLE": 7.8 }, "ci": { "DIABETES": { "lo": 16.4, "hi": 21.1 }, "OBESITY": { "lo": 35.4, "hi": 49.8 }, "BPHIGH": { "lo": 34.7, "hi": 42.9 }, "CHD": { "lo": 8.7, "hi": 10.9 }, "GHLTH": { "lo": 26.5, "hi": 34.7 }, "PHLTH": { "lo": 16.8, "hi": 21.7 }, "ACCESS2": { "lo": 10.9, "hi": 16.9 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 8 }, { "fips": "46041", "name": "Dewey", "population": 5208, "priorityIndex": 63.0, "burdenScore": 66.7, "accessScore": 49.1, "shortageScore": 73.1, "topDriver": "Provider shortage", "hpsaMaxScore": 19, "hpsaDesignations": 5, "raw": { "DIABETES": 18.0, "OBESITY": 43.6, "BPHIGH": 38.1, "CHD": 8.3, "GHLTH": 29.9, "PHLTH": 18.1, "ACCESS2": 13.4, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 32.3, "ACS_NOVEHICLE": 8.3 }, "ci": { "DIABETES": { "lo": 15.9, "hi": 20.3 }, "OBESITY": { "lo": 37.2, "hi": 50.0 }, "BPHIGH": { "lo": 34.3, "hi": 42.0 }, "CHD": { "lo": 7.4, "hi": 9.4 }, "GHLTH": { "lo": 25.9, "hi": 34.3 }, "PHLTH": { "lo": 15.8, "hi": 20.6 }, "ACCESS2": { "lo": 10.6, "hi": 16.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 9 }, { "fips": "46023", "name": "Charles Mix", "population": 9240, "priorityIndex": 54.9, "burdenScore": 54.8, "accessScore": 29.1, "shortageScore": 80.8, "topDriver": "Provider shortage", "hpsaMaxScore": 21, "hpsaDesignations": 3, "raw": { "DIABETES": 15.3, "OBESITY": 40.4, "BPHIGH": 38.3, "CHD": 9.0, "GHLTH": 23.0, "PHLTH": 15.5, "ACCESS2": 10.3, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 22.8, "ACS_NOVEHICLE": 4.6 }, "ci": { "DIABETES": { "lo": 13.0, "hi": 17.5 }, "OBESITY": { "lo": 31.1, "hi": 49.3 }, "BPHIGH": { "lo": 33.6, "hi": 42.6 }, "CHD": { "lo": 7.8, "hi": 10.2 }, "GHLTH": { "lo": 19.1, "hi": 26.8 }, "PHLTH": { "lo": 13.2, "hi": 17.7 }, "ACCESS2": { "lo": 8.0, "hi": 13.0 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 10 }, { "fips": "46085", "name": "Lyman", "population": 3705, "priorityIndex": 53.5, "burdenScore": 57.1, "accessScore": 34.2, "shortageScore": 69.2, "topDriver": "Provider shortage", "hpsaMaxScore": 18, "hpsaDesignations": 2, "raw": { "DIABETES": 15.8, "OBESITY": 40.1, "BPHIGH": 38.7, "CHD": 9.2, "GHLTH": 24.1, "PHLTH": 15.8, "ACCESS2": 10.8, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 24.6, "ACS_NOVEHICLE": 6.3 }, "ci": { "DIABETES": { "lo": 13.5, "hi": 18.1 }, "OBESITY": { "lo": 31.6, "hi": 49.1 }, "BPHIGH": { "lo": 34.4, "hi": 43.1 }, "CHD": { "lo": 7.9, "hi": 10.4 }, "GHLTH": { "lo": 20.6, "hi": 27.9 }, "PHLTH": { "lo": 13.7, "hi": 18.1 }, "ACCESS2": { "lo": 8.4, "hi": 13.4 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 11 }, { "fips": "46109", "name": "Roberts", "population": 10206, "priorityIndex": 52.4, "burdenScore": 61.9, "accessScore": 26.1, "shortageScore": 69.2, "topDriver": "Provider shortage", "hpsaMaxScore": 18, "hpsaDesignations": 3, "raw": { "DIABETES": 16.3, "OBESITY": 43.0, "BPHIGH": 39.6, "CHD": 9.5, "GHLTH": 23.5, "PHLTH": 16.1, "ACCESS2": 10.4, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 17.3, "ACS_NOVEHICLE": 4.8 }, "ci": { "DIABETES": { "lo": 14.0, "hi": 18.7 }, "OBESITY": { "lo": 34.7, "hi": 51.5 }, "BPHIGH": { "lo": 35.2, "hi": 44.1 }, "CHD": { "lo": 8.3, "hi": 10.7 }, "GHLTH": { "lo": 19.9, "hi": 27.1 }, "PHLTH": { "lo": 13.9, "hi": 18.4 }, "ACCESS2": { "lo": 8.2, "hi": 12.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 12 }, { "fips": "46123", "name": "Tripp", "population": 5621, "priorityIndex": 51.0, "burdenScore": 55.3, "accessScore": 28.6, "shortageScore": 69.2, "topDriver": "Provider shortage", "hpsaMaxScore": 18, "hpsaDesignations": 2, "raw": { "DIABETES": 15.3, "OBESITY": 37.0, "BPHIGH": 39.9, "CHD": 9.8, "GHLTH": 22.6, "PHLTH": 15.7, "ACCESS2": 10.1, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 18.9, "ACS_NOVEHICLE": 6.4 }, "ci": { "DIABETES": { "lo": 13.1, "hi": 17.8 }, "OBESITY": { "lo": 28.7, "hi": 45.8 }, "BPHIGH": { "lo": 35.3, "hi": 44.5 }, "CHD": { "lo": 8.5, "hi": 11.1 }, "GHLTH": { "lo": 19.0, "hi": 26.6 }, "PHLTH": { "lo": 13.4, "hi": 17.9 }, "ACCESS2": { "lo": 7.9, "hi": 12.7 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 13 }, { "fips": "46047", "name": "Fall River", "population": 7393, "priorityIndex": 48.7, "burdenScore": 61.5, "accessScore": 26.8, "shortageScore": 57.7, "topDriver": "Health burden", "hpsaMaxScore": 15, "hpsaDesignations": 1, "raw": { "DIABETES": 16.4, "OBESITY": 38.0, "BPHIGH": 43.1, "CHD": 10.5, "GHLTH": 21.8, "PHLTH": 15.5, "ACCESS2": 8.9, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 19.7, "ACS_NOVEHICLE": 7.0 }, "ci": { "DIABETES": { "lo": 14.1, "hi": 18.8 }, "OBESITY": { "lo": 30.4, "hi": 46.6 }, "BPHIGH": { "lo": 38.8, "hi": 47.7 }, "CHD": { "lo": 9.1, "hi": 11.9 }, "GHLTH": { "lo": 18.1, "hi": 25.7 }, "PHLTH": { "lo": 13.2, "hi": 17.9 }, "ACCESS2": { "lo": 6.8, "hi": 11.5 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 14 }, { "fips": "46049", "name": "Faulk", "population": 2151, "priorityIndex": 46.8, "burdenScore": 49.3, "accessScore": 33.3, "shortageScore": 57.7, "topDriver": "Provider shortage", "hpsaMaxScore": 15, "hpsaDesignations": 2, "raw": { "DIABETES": 14.4, "OBESITY": 36.3, "BPHIGH": 38.6, "CHD": 9.5, "GHLTH": 20.8, "PHLTH": 14.8, "ACCESS2": 9.3, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 25.6, "ACS_NOVEHICLE": 8.0 }, "ci": { "DIABETES": { "lo": 12.2, "hi": 16.8 }, "OBESITY": { "lo": 27.9, "hi": 45.0 }, "BPHIGH": { "lo": 33.9, "hi": 43.1 }, "CHD": { "lo": 8.3, "hi": 10.9 }, "GHLTH": { "lo": 17.3, "hi": 24.9 }, "PHLTH": { "lo": 12.6, "hi": 17.2 }, "ACCESS2": { "lo": 7.0, "hi": 12.1 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 15 }, { 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"hpsaDesignations": 0, "raw": { "DIABETES": 10.1, "OBESITY": 34.6, "BPHIGH": 30.3, "CHD": 6.2, "GHLTH": 15.8, "PHLTH": 11.9, "ACCESS2": 9.1, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 6.6, "ACS_NOVEHICLE": 1.4 }, "ci": { "DIABETES": { "lo": 8.6, "hi": 12.0 }, "OBESITY": { "lo": 27.1, "hi": 43.0 }, "BPHIGH": { "lo": 26.5, "hi": 34.6 }, "CHD": { "lo": 5.3, "hi": 7.2 }, "GHLTH": { "lo": 12.9, "hi": 19.2 }, "PHLTH": { "lo": 10.1, "hi": 13.9 }, "ACCESS2": { "lo": 7.0, "hi": 11.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 65 }, { "fips": "46127", "name": "Union", "population": 17183, "priorityIndex": 9.2, "burdenScore": 17.9, "accessScore": 9.7, "shortageScore": 0.0, "topDriver": "Health burden", "hpsaMaxScore": 0, "hpsaDesignations": 0, "raw": { "DIABETES": 10.6, "OBESITY": 31.2, "BPHIGH": 32.0, "CHD": 6.4, "GHLTH": 14.8, "PHLTH": 11.2, "ACCESS2": 7.6, "LACKTRPT": null, "FOODINSECU": null, "HOUSINSECU": null, "ACS_POVERTY": 7.3, "ACS_NOVEHICLE": 3.2 }, "ci": { "DIABETES": { "lo": 8.9, "hi": 12.5 }, "OBESITY": { "lo": 23.8, "hi": 39.3 }, "BPHIGH": { "lo": 27.9, "hi": 36.3 }, "CHD": { "lo": 5.5, "hi": 7.4 }, "GHLTH": { "lo": 11.9, "hi": 17.9 }, "PHLTH": { "lo": 9.4, "hi": 13.2 }, "ACCESS2": { "lo": 5.8, "hi": 9.8 }, "LACKTRPT": { "lo": null, "hi": null }, "FOODINSECU": { "lo": null, "hi": null }, "HOUSINSECU": { "lo": null, "hi": null } }, "rank": 66 } ], "faq": [ { "question": "What does the South Dakota county health-access scorecard measure?", "answer": "It ranks all 66 South 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": "d6950dd689142606" }