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Medical home access in children with asthma: Association with asthma severity and sociodemographic factors

Alexandria Murry Newton1, Kylie Handa1, Molly Bloom2

  • 1Office of Medical Student Research, Oklahoma State University College of Osteopathic Medicine, Tulsa, Oklahoma, USA.

Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology
|May 20, 2026
PubMed

Insights

Access to a patient-centered medical home (PCMH) is linked to less severe childhood asthma. Sociodemographic factors influence PCMH access for these children, highlighting the need for policy changes to improve care.

Area of Science:

  • Pediatric Health
  • Public Health Policy
  • Asthma Management

Background:

  • Patient-centered medical homes (PCMH) are crucial for children with asthma, a condition affecting millions in the US.
  • Complex asthma management and uncontrolled disease increase childhood morbidity.
  • This study investigated PCMH access, asthma severity, and sociodemographic factors in children.

Purpose of the Study:

  • To examine the rates of PCMH access among children with asthma.
  • To determine associations between PCMH status, asthma severity, and sociodemographic factors.
  • To inform policy recommendations for improving comprehensive asthma care.

Main Methods:

  • Cross-sectional study using the 2022 National Survey of Children's Health.
  • Assessed PCMH status in a nationally representative sample of children with asthma.
  • Utilized design-based X² tests to analyze differences based on asthma severity and social determinants of health.

Main Results:

  • 41.5% of 3636 children with asthma met PCMH criteria.
  • PCMH access was significantly associated with asthma severity and sociodemographics (p < .001), excluding child's age.
  • Children with severe asthma had lower PCMH access (19.0%) compared to those with mild asthma (45.1%).
  • Higher parental education and having two biological parents correlated with increased PCMH access.

Conclusions:

  • PCMH access is associated with reduced likelihood of severe asthma symptoms in children.
  • Sociodemographic factors significantly impact children's ability to access PCMH services.
  • National and state policies are needed to improve PCMH access for children with asthma.
Abstract

Keywords:
asthmahealthcare disparitiesmedical homepatient‐centered medical homepediatricssocial determinants of healthsociodemographic factors

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