{
  "alt": "Line chart with three lines against county deprivation decile, from the least deprived on the left to the most deprived on the right. The primary care physician and dentist lines rise across the deciles. The mental health provider line lies far below them and rises less evenly, with a dip at the last point.",
  "caption": "The physician and dentist lines climb toward the more deprived deciles, and the mental health line is lower and rises less evenly, ending in a dip at the most deprived decile. Each point is the residents of the counties in a decile divided by their providers, with a 95% interval from a bootstrap over states, so a higher value means fewer providers for each resident.",
  "data": [
    {
      "conf_high": 1205,
      "conf_low": 1093,
      "counties_with_none": 7,
      "decile": 1,
      "estimate": 1159,
      "n_units": 312,
      "provider": "Primary care physicians",
      "providers": 113749,
      "residents": 131811420
    },
    {
      "conf_high": 1449,
      "conf_low": 1221,
      "counties_with_none": 5,
      "decile": 2,
      "estimate": 1335,
      "n_units": 313,
      "provider": "Primary care physicians",
      "providers": 46027,
      "residents": 61434044
    },
    {
      "conf_high": 1511,
      "conf_low": 1286,
      "counties_with_none": 7,
      "decile": 3,
      "estimate": 1389,
      "n_units": 313,
      "provider": "Primary care physicians",
      "providers": 30365,
      "residents": 42189945
    },
    {
      "conf_high": 1512,
      "conf_low": 1309,
      "counties_with_none": 10,
      "decile": 4,
      "estimate": 1411,
      "n_units": 312,
      "provider": "Primary care physicians",
      "providers": 22741,
      "residents": 32087932
    },
    {
      "conf_high": 1737,
      "conf_low": 1365,
      "counties_with_none": 17,
      "decile": 5,
      "estimate": 1529,
      "n_units": 314,
      "provider": "Primary care physicians",
      "providers": 13522,
      "residents": 20679797
    },
    {
      "conf_high": 1877,
      "conf_low": 1458,
      "counties_with_none": 29,
      "decile": 6,
      "estimate": 1656,
      "n_units": 312,
      "provider": "Primary care physicians",
      "providers": 8739,
      "residents": 14471394
    },
    {
      "conf_high": 2148,
      "conf_low": 1660,
      "counties_with_none": 19,
      "decile": 7,
      "estimate": 1894,
      "n_units": 313,
      "provider": "Primary care physicians",
      "providers": 5756,
      "residents": 10903268
    },
    {
      "conf_high": 2249,
      "conf_low": 1905,
      "counties_with_none": 38,
      "decile": 8,
      "estimate": 2083,
      "n_units": 315,
      "provider": "Primary care physicians",
      "providers": 4293,
      "residents": 8942931
    },
    {
      "conf_high": 2828,
      "conf_low": 2394,
      "counties_with_none": 35,
      "decile": 9,
      "estimate": 2593,
      "n_units": 312,
      "provider": "Primary care physicians",
      "providers": 2130,
      "residents": 5522704
    },
    {
      "conf_high": 3018,
      "conf_low": 2452,
      "counties_with_none": 53,
      "decile": 10,
      "estimate": 2730,
      "n_units": 312,
      "provider": "Primary care physicians",
      "providers": 1403,
      "residents": 3830042
    },
    {
      "conf_high": 1232,
      "conf_low": 1074,
      "counties_with_none": 10,
      "decile": 1,
      "estimate": 1131,
      "n_units": 312,
      "provider": "Dentists",
      "providers": 116844,
      "residents": 132162193
    },
    {
      "conf_high": 1583,
      "conf_low": 1304,
      "counties_with_none": 4,
      "decile": 2,
      "estimate": 1439,
      "n_units": 313,
      "provider": "Dentists",
      "providers": 43139,
      "residents": 62071203
    },
    {
      "conf_high": 1552,
      "conf_low": 1351,
      "counties_with_none": 13,
      "decile": 3,
      "estimate": 1425,
      "n_units": 313,
      "provider": "Dentists",
      "providers": 29869,
      "residents": 42550714
    },
    {
      "conf_high": 1624,
      "conf_low": 1388,
      "counties_with_none": 11,
      "decile": 4,
      "estimate": 1494,
      "n_units": 312,
      "provider": "Dentists",
      "providers": 21574,
      "residents": 32224541
    },
    {
      "conf_high": 1848,
      "conf_low": 1473,
      "counties_with_none": 21,
      "decile": 5,
      "estimate": 1622,
      "n_units": 314,
      "provider": "Dentists",
      "providers": 12745,
      "residents": 20677282
    },
    {
      "conf_high": 1984,
      "conf_low": 1586,
      "counties_with_none": 27,
      "decile": 6,
      "estimate": 1776,
      "n_units": 312,
      "provider": "Dentists",
      "providers": 8145,
      "residents": 14463884
    },
    {
      "conf_high": 2169,
      "conf_low": 1775,
      "counties_with_none": 22,
      "decile": 7,
      "estimate": 1949,
      "n_units": 313,
      "provider": "Dentists",
      "providers": 5585,
      "residents": 10883473
    },
    {
      "conf_high": 2718,
      "conf_low": 2196,
      "counties_with_none": 30,
      "decile": 8,
      "estimate": 2454,
      "n_units": 315,
      "provider": "Dentists",
      "providers": 3638,
      "residents": 8928681
    },
    {
      "conf_high": 2920,
      "conf_low": 2533,
      "counties_with_none": 31,
      "decile": 9,
      "estimate": 2713,
      "n_units": 312,
      "provider": "Dentists",
      "providers": 2026,
      "residents": 5496600
    },
    {
      "conf_high": 3533,
      "conf_low": 2638,
      "counties_with_none": 58,
      "decile": 10,
      "estimate": 3055,
      "n_units": 312,
      "provider": "Dentists",
      "providers": 1240,
      "residents": 3788578
    },
    {
      "conf_high": 307,
      "conf_low": 221,
      "counties_with_none": 2,
      "decile": 1,
      "estimate": 250,
      "n_units": 312,
      "provider": "Mental health providers",
      "providers": 528315,
      "residents": 132162193
    },
    {
      "conf_high": 415,
      "conf_low": 290,
      "counties_with_none": 2,
      "decile": 2,
      "estimate": 351,
      "n_units": 313,
      "provider": "Mental health providers",
      "providers": 176791,
      "residents": 62071203
    },
    {
      "conf_high": 436,
      "conf_low": 312,
      "counties_with_none": 11,
      "decile": 3,
      "estimate": 372,
      "n_units": 313,
      "provider": "Mental health providers",
      "providers": 114486,
      "residents": 42550714
    },
    {
      "conf_high": 425,
      "conf_low": 310,
      "counties_with_none": 9,
      "decile": 4,
      "estimate": 364,
      "n_units": 312,
      "provider": "Mental health providers",
      "providers": 88447,
      "residents": 32224541
    },
    {
      "conf_high": 517,
      "conf_low": 339,
      "counties_with_none": 16,
      "decile": 5,
      "estimate": 402,
      "n_units": 314,
      "provider": "Mental health providers",
      "providers": 51406,
      "residents": 20677282
    },
    {
      "conf_high": 604,
      "conf_low": 363,
      "counties_with_none": 26,
      "decile": 6,
      "estimate": 463,
      "n_units": 312,
      "provider": "Mental health providers",
      "providers": 31271,
      "residents": 14463884
    },
    {
      "conf_high": 612,
      "conf_low": 407,
      "counties_with_none": 18,
      "decile": 7,
      "estimate": 483,
      "n_units": 313,
      "provider": "Mental health providers",
      "providers": 22524,
      "residents": 10883473
    },
    {
      "conf_high": 746,
      "conf_low": 426,
      "counties_with_none": 32,
      "decile": 8,
      "estimate": 551,
      "n_units": 315,
      "provider": "Mental health providers",
      "providers": 16210,
      "residents": 8928681
    },
    {
      "conf_high": 837,
      "conf_low": 505,
      "counties_with_none": 38,
      "decile": 9,
      "estimate": 641,
      "n_units": 312,
      "provider": "Mental health providers",
      "providers": 8572,
      "residents": 5496600
    },
    {
      "conf_high": 882,
      "conf_low": 382,
      "counties_with_none": 52,
      "decile": 10,
      "estimate": 550,
      "n_units": 312,
      "provider": "Mental health providers",
      "providers": 6883,
      "residents": 3788578
    }
  ],
  "id": "people_per_provider",
  "notes": [
    "Counties with no recorded provider stay in: they add residents and no providers. County Health Rankings leaves their published ratio blank above a population cutoff that differs by provider type and reports a rate of 0 below it, and the first edition of this chapter dropped them. Primary care physicians are practicing non-federal physicians under age 75 in general practice, family medicine, internal medicine and pediatrics; dentists are those with a National Provider Identifier; mental health providers include psychiatrists, psychologists, social workers, counselors, therapists and mental health nurse practitioners. Providers are counted where they practice, not by the care patients receive.",
    "Deciles hold about the same number of counties, {fact:n_no_adi_counties} small counties with no deprivation rank are outside them (so the counts of counties with no provider in the table are smaller than the counts in the text, which cover all counties), and Puerto Rico is not covered.",
    "Across all the counties in the comparison, there are {fact:us_pcp} residents per primary care physician."
  ],
  "source": "County Health Rankings 2024 (provider counts from AMA, CMS and NPPES files, 2021-2023) and Area Deprivation Index 2023; full counts, pooled ratios",
  "spec": {
    "colors": {
      "Dentists": "highlight",
      "Mental health providers": "cat2",
      "Primary care physicians": "accent"
    },
    "hi": "conf_high",
    "lo": "conf_low",
    "n": "n_units",
    "series": "provider",
    "x": "decile",
    "xDomain": [
      1,
      10
    ],
    "xLabel": "County deprivation decile (1 = least deprived, 10 = most deprived)",
    "xTicks": "data",
    "y": "estimate",
    "yDomain": [
      0,
      3700
    ],
    "yFormat": {
      "digits": 0,
      "thousands": true
    },
    "yLabel": "Residents per provider"
  },
  "subtitle": "Residents per provider, pooled over the counties in each tenth of counties ranked on the county Area Deprivation Index, providers counted in 2021 (physicians), 2022 (dentists) and 2023 (mental health providers)",
  "table": {
    "columns": [
      {
        "key": "provider",
        "label": "Provider"
      },
      {
        "key": "decile",
        "label": "County deprivation decile"
      },
      {
        "format": {
          "thousands": true
        },
        "key": "estimate",
        "label": "Residents per provider"
      },
      {
        "format": {
          "thousands": true
        },
        "key": "conf_low",
        "label": "Lower limit of the 95% interval"
      },
      {
        "format": {
          "thousands": true
        },
        "key": "conf_high",
        "label": "Upper limit of the 95% interval"
      },
      {
        "format": {
          "thousands": true
        },
        "key": "providers",
        "label": "Providers"
      },
      {
        "format": {
          "thousands": true
        },
        "key": "residents",
        "label": "Residents"
      },
      {
        "key": "n_units",
        "label": "Counties"
      },
      {
        "key": "counties_with_none",
        "label": "Counties with no provider in the decile"
      }
    ]
  },
  "title": "Residents per primary care physician rise from {fact:care_pcp_d1} to {fact:care_pcp_d10} and per dentist from {fact:care_dent_d1} to {fact:care_dent_d10} between the least and most deprived tenths of counties",
  "type": "line",
  "width": "wide"
}