What Primary Care Access Measures

All 774 available rows are display-only. None may be used for filtering, sorting, rankings or collections, Fit, Compare, or hard constraints. Available does not mean decision eligible, and unavailable does not mean zero. The available groups total 774 rows and must not be combined into one cross-country score or methodology.

Retirement Lists uses Health Center Program service-delivery-site points from the Health Resources and Services Administration. The snapshot contains 17,619 deduplicated service-delivery-site points and source observations for 765 U.S. catalog cities. Only 216 published Primary Care Access rows are directly classified into the repaired HRSA source track. The 765-city source coverage must not be presented as 765 active HRSA-backed rows.

For the 216 HRSA-backed rows, Retirement Lists counts adult-primary-care-likely service-delivery-site points within 15 miles of the city coordinate. A separate 30-mile count provides regional context. Both are straight-line radii and do not represent road distance, travel time, public transit, or distance from a particular home. The 30-mile count is context, not an additional access score.

The included subset is intended to identify permanent Health Center Program service-delivery sites likely to provide adult primary care. It excludes dental-only, school-based, mobile, pediatric, behavioral-only, WIC, pharmacy, vision, recovery, similar non-adult-primary-care-specific sites, and locations reported as operating fewer than 20 hours per week. This is not a complete inventory of private physicians, practices, hospital-owned offices, urgent-care locations, or other community providers.

Nine rows use a separate Spain model based on official primary-care center counts from the Ministry of Health SIAP catalog and municipality population from the Instituto Nacional de Estadística. The geographic grain is the exact official municipality. For Spain, the model calculates primary-care centers per 100,000 residents, rounded to two decimal places, then normalizes that rate to a 0–100 score with 8 centers per 100,000 as the saturation anchor, not a cap on the raw rate. Granada’s verified raw rate is 8.93.

rate = round2(centers × 100000 / population); primaryCareScore = round(clamp(rate / 8 × 100, 0, 100)). This is not equivalent to the U.S. 15-mile or 30-mile counts. A municipal rate does not show where facilities are located within the municipality or how easily a resident could reach them.

The source bundle covers the 2025 National Hospital Catalogue and 2026 SIAP healthcare catalogs. Primary-care facility inputs come from the 2026 SIAP catalog; population comes from INE. The artifact was generated on July 18, 2026, at 07:28:46.281Z.

The available ledger also contains 501 OSM rows and 48 CMS+OSM rows. These 549 rows lack a complete source identifier, geographic grain, observation date, effective period, and model record. They may remain visible only as limited planning context.

Retirement Lists cannot assign them a verified authoritative organization, formula, date, or geography. They are unavailable for verified comparison or decision use even though a display value exists. They must not be described as normalized local care options or folded into the HRSA or Spain methods.

The remaining 213 rows are Source unavailable and remain null. Source unavailable means no usable source-backed value was produced; it does not mean zero locations, average or neutral access, a failed threshold, weak access, an estimate from another method, or a qualifying result.

Current Primary Care collections therefore have zero qualifying results. Retirement Lists does not currently rank cities by Primary Care Access.

The U.S. HRSA track is a retrieved service-delivery-site snapshot observed July 19, 2026, at 06:48:51.978Z, with qualifying sites within 15 miles and a separate 30-mile regional count. The Spain track uses the 2025 National Hospital Catalogue, 2026 SIAP catalogs, and INE population, observed July 18, 2026, at 07:28:46.281Z, with an exact municipality and municipality-rate model.

The quarantined track and Source unavailable track do not have completely documented source periods or usable grains. A snapshot or generation date identifies when Retirement Lists observed or produced the evidence; it does not prove that every underlying facility record was independently checked on that date.

Primary Care Access does not establish enough clinicians for local demand, a specific doctor or practice, appointment availability or wait times, acceptance of new patients, Medicare or other insurance acceptance, network participation, distance or travel time from a home, language or accessibility support, affordability, clinical quality, continuity of care, or primary-care or specialist suitability for a particular person.

The HRSA track covers a limited program-site subset. The Spain track is a municipality rate. The quarantined rows lack enough detail for verified interpretation, and unavailable rows contain no qualifying value.

Before relying on a destination’s displayed information, search current official, health-system, provider, and insurer directories; confirm provider locations and realistic travel times from the home being considered; ask whether practices are accepting new patients; verify Medicare or other insurance acceptance and network participation directly; confirm appointment availability, accessibility, language support, and expected personal costs; check whether a practice can support ongoing conditions, medications, monitoring, and continuity needs; and discuss individual care requirements with the appropriate clinician or care team.

Retirement Lists does not provide personal medical, insurance, financial, or relocation advice. It is a broader retirement decision platform; healthcare and place are only part of that decision.