{
  "alt": "Four panels of the same outcome by tenth of counties, ranked by the ADI, the standardized index, median household income and the bachelor's degree share. Under the ADI the outcome is steadily worse toward the more deprived end. The other three rankings keep that pattern.",
  "caption": "Compare the shape of each panel with the ADI panel. A pattern counts as changed when the worse end switches sides, when the two ends differ under one ranking and not the other, or when the rank correlation of bin order and bin mean crosses {fact:alt_rho_cut} and moves by at least {fact:alt_rho_margin}. Each panel plots the residents of the counties divided by their primary care physicians (a pooled ratio; counties with no physician add residents and no physicians) in each tenth of counties, with 95% intervals from a bootstrap over states.",
  "data": [
    {
      "bin": 1,
      "conf_high": 1210.15,
      "conf_low": 1099.89,
      "estimate": 1163.69,
      "n_units": 312,
      "ranking": "Area Deprivation Index"
    },
    {
      "bin": 2,
      "conf_high": 1446.72,
      "conf_low": 1202.09,
      "estimate": 1322.46,
      "n_units": 313,
      "ranking": "Area Deprivation Index"
    },
    {
      "bin": 3,
      "conf_high": 1486.14,
      "conf_low": 1275.4,
      "estimate": 1368.93,
      "n_units": 312,
      "ranking": "Area Deprivation Index"
    },
    {
      "bin": 4,
      "conf_high": 1525.93,
      "conf_low": 1332.58,
      "estimate": 1430.26,
      "n_units": 313,
      "ranking": "Area Deprivation Index"
    },
    {
      "bin": 5,
      "conf_high": 1763.49,
      "conf_low": 1352.96,
      "estimate": 1532.74,
      "n_units": 312,
      "ranking": "Area Deprivation Index"
    },
    {
      "bin": 6,
      "conf_high": 1799.77,
      "conf_low": 1472.39,
      "estimate": 1618.05,
      "n_units": 313,
      "ranking": "Area Deprivation Index"
    },
    {
      "bin": 7,
      "conf_high": 2167.56,
      "conf_low": 1702.92,
      "estimate": 1921.68,
      "n_units": 312,
      "ranking": "Area Deprivation Index"
    },
    {
      "bin": 8,
      "conf_high": 2183.34,
      "conf_low": 1878,
      "estimate": 2036.32,
      "n_units": 313,
      "ranking": "Area Deprivation Index"
    },
    {
      "bin": 9,
      "conf_high": 2899.57,
      "conf_low": 2479.44,
      "estimate": 2673.4,
      "n_units": 312,
      "ranking": "Area Deprivation Index"
    },
    {
      "bin": 10,
      "conf_high": 3037.94,
      "conf_low": 2473.16,
      "estimate": 2748.65,
      "n_units": 313,
      "ranking": "Area Deprivation Index"
    },
    {
      "bin": 1,
      "conf_high": 1170.06,
      "conf_low": 1036.51,
      "estimate": 1093.78,
      "n_units": 312,
      "ranking": "Standardized index"
    },
    {
      "bin": 2,
      "conf_high": 1442.1,
      "conf_low": 1209.23,
      "estimate": 1316.59,
      "n_units": 313,
      "ranking": "Standardized index"
    },
    {
      "bin": 3,
      "conf_high": 1373.72,
      "conf_low": 1215.92,
      "estimate": 1279.74,
      "n_units": 312,
      "ranking": "Standardized index"
    },
    {
      "bin": 4,
      "conf_high": 1515.34,
      "conf_low": 1281.32,
      "estimate": 1409.25,
      "n_units": 313,
      "ranking": "Standardized index"
    },
    {
      "bin": 5,
      "conf_high": 1637.95,
      "conf_low": 1450.91,
      "estimate": 1532.47,
      "n_units": 312,
      "ranking": "Standardized index"
    },
    {
      "bin": 6,
      "conf_high": 1806.3,
      "conf_low": 1462.21,
      "estimate": 1620.39,
      "n_units": 313,
      "ranking": "Standardized index"
    },
    {
      "bin": 7,
      "conf_high": 1851.25,
      "conf_low": 1470.42,
      "estimate": 1648.11,
      "n_units": 312,
      "ranking": "Standardized index"
    },
    {
      "bin": 8,
      "conf_high": 2220.02,
      "conf_low": 1813.39,
      "estimate": 2033.2,
      "n_units": 313,
      "ranking": "Standardized index"
    },
    {
      "bin": 9,
      "conf_high": 2549.09,
      "conf_low": 2062.81,
      "estimate": 2274.99,
      "n_units": 312,
      "ranking": "Standardized index"
    },
    {
      "bin": 10,
      "conf_high": 2973.21,
      "conf_low": 2513.79,
      "estimate": 2687.46,
      "n_units": 313,
      "ranking": "Standardized index"
    },
    {
      "bin": 1,
      "conf_high": 1174.85,
      "conf_low": 1041.06,
      "estimate": 1104.01,
      "n_units": 312,
      "ranking": "Median household income"
    },
    {
      "bin": 2,
      "conf_high": 1480.17,
      "conf_low": 1288.67,
      "estimate": 1377.43,
      "n_units": 313,
      "ranking": "Median household income"
    },
    {
      "bin": 3,
      "conf_high": 1541.29,
      "conf_low": 1307.97,
      "estimate": 1422.22,
      "n_units": 312,
      "ranking": "Median household income"
    },
    {
      "bin": 4,
      "conf_high": 1442.72,
      "conf_low": 1254.39,
      "estimate": 1345.97,
      "n_units": 313,
      "ranking": "Median household income"
    },
    {
      "bin": 5,
      "conf_high": 1621.02,
      "conf_low": 1397.17,
      "estimate": 1501.71,
      "n_units": 312,
      "ranking": "Median household income"
    },
    {
      "bin": 6,
      "conf_high": 1766.68,
      "conf_low": 1431.44,
      "estimate": 1588.16,
      "n_units": 313,
      "ranking": "Median household income"
    },
    {
      "bin": 7,
      "conf_high": 1870.83,
      "conf_low": 1494.29,
      "estimate": 1664.4,
      "n_units": 312,
      "ranking": "Median household income"
    },
    {
      "bin": 8,
      "conf_high": 2100.47,
      "conf_low": 1780.24,
      "estimate": 1953.88,
      "n_units": 313,
      "ranking": "Median household income"
    },
    {
      "bin": 9,
      "conf_high": 2679.24,
      "conf_low": 2321.37,
      "estimate": 2495.88,
      "n_units": 312,
      "ranking": "Median household income"
    },
    {
      "bin": 10,
      "conf_high": 2920.57,
      "conf_low": 2385.95,
      "estimate": 2615.28,
      "n_units": 313,
      "ranking": "Median household income"
    },
    {
      "bin": 1,
      "conf_high": 1060.4,
      "conf_low": 965.336,
      "estimate": 1009.71,
      "n_units": 312,
      "ranking": "Bachelor's degree share"
    },
    {
      "bin": 2,
      "conf_high": 1354.33,
      "conf_low": 1220.35,
      "estimate": 1279.68,
      "n_units": 313,
      "ranking": "Bachelor's degree share"
    },
    {
      "bin": 3,
      "conf_high": 1509.95,
      "conf_low": 1342.32,
      "estimate": 1422.78,
      "n_units": 312,
      "ranking": "Bachelor's degree share"
    },
    {
      "bin": 4,
      "conf_high": 1801.74,
      "conf_low": 1592.93,
      "estimate": 1690.55,
      "n_units": 313,
      "ranking": "Bachelor's degree share"
    },
    {
      "bin": 5,
      "conf_high": 1937.57,
      "conf_low": 1628.6,
      "estimate": 1766.37,
      "n_units": 312,
      "ranking": "Bachelor's degree share"
    },
    {
      "bin": 6,
      "conf_high": 2286.97,
      "conf_low": 1875.02,
      "estimate": 2058.38,
      "n_units": 313,
      "ranking": "Bachelor's degree share"
    },
    {
      "bin": 7,
      "conf_high": 2417.32,
      "conf_low": 2074.7,
      "estimate": 2235.93,
      "n_units": 312,
      "ranking": "Bachelor's degree share"
    },
    {
      "bin": 8,
      "conf_high": 2668.3,
      "conf_low": 2334.02,
      "estimate": 2495.89,
      "n_units": 313,
      "ranking": "Bachelor's degree share"
    },
    {
      "bin": 9,
      "conf_high": 2881.01,
      "conf_low": 2467.95,
      "estimate": 2651.02,
      "n_units": 312,
      "ranking": "Bachelor's degree share"
    },
    {
      "bin": 10,
      "conf_high": 3804.9,
      "conf_low": 3227.72,
      "estimate": 3519.82,
      "n_units": 313,
      "ranking": "Bachelor's degree share"
    }
  ],
  "id": "alt_rankings",
  "notes": [
    "Least and most deprived tenth: ADI {fact:alt_adi_least} and {fact:alt_adi_most}, rank correlation {fact:alt_adi_rho}; standardized index {fact:alt_std_least} and {fact:alt_std_most}, {fact:alt_std_rho}; median household income {fact:alt_income_least} and {fact:alt_income_most}, {fact:alt_income_rho}; bachelor's degree share {fact:alt_degree_least} and {fact:alt_degree_most}, {fact:alt_degree_rho}.",
    "The standardized index applies the ADI's coefficients to its measures after standardizing each one, so home value and income carry less weight than in the ADI. Income and degree share are single census measures, each ranked from the highest value to the lowest."
  ],
  "source": "County Health Rankings 2024 (provider counts from AMA, CMS and NPPES files, 2021-2023) and Area Deprivation Index 2023; full counts, pooled ratios; ADI 2023 and ACS 2019-2023 tract tables (B19013, B15003 and the 15 rebuilt ADI measures)",
  "spec": {
    "facet": "ranking",
    "hi": "conf_high",
    "lo": "conf_low",
    "n": "n_units",
    "x": "bin",
    "xDomain": [
      1,
      10
    ],
    "xLabel": "Tenth of counties by each ranking (1 = least deprived, 10 = most deprived)",
    "xTicks": [
      1,
      2,
      3,
      4,
      5,
      6,
      7,
      8,
      9,
      10
    ],
    "y": "estimate",
    "yDomain": [
      800,
      4000
    ],
    "yFormat": {
      "digits": 0
    },
    "yLabel": "Residents per primary care physician"
  },
  "subtitle": "Residents per primary care physician by tenth of counties ranked four ways, over the {fact:alt_n_places} counties that have all four rankings",
  "title": "Residents per primary care physician is steadily worse toward the more deprived end under the ADI and under each of the three other rankings",
  "type": "line"
}