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Updated: Jan 13, 2026

Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
Published on: January 12, 2019
Proximity to Healthcare Services Among Individuals With Duchenne Muscular Dystrophy
Shiny Thomas1, Treeva A Jaff2, Kristin M Conway3
1Bureau of Environmental and Occupational Epidemiology, New York State Department of Health, Albany, New York.
Individuals with Duchenne muscular dystrophy face long travel times for healthcare, with median roundtrip drive times exceeding 1.5 hours. This travel burden disproportionately affects younger non-Hispanic White individuals and other race/ethnicity groups.
Area of Science:
- Medical Research
- Public Health
- Healthcare Access
Background:
- Duchenne muscular dystrophy (DMD) is a severe genetic disorder requiring regular medical care.
- Access to healthcare facilities can be challenging for individuals with chronic conditions.
Purpose of the Study:
- To analyze travel time from residence to healthcare facilities for individuals with DMD.
- To identify factors influencing travel duration for clinical care.
Main Methods:
- A cohort of 302 males with DMD, born between 2000 and 2015, was studied.
- Geocoded addresses were used to estimate travel times for healthcare visits.
- Travel times were calculated for both driving and public transit.
Main Results:
- A total of 7,546 provider visits and 6,064 unique facility visits were recorded.
- The median roundtrip driving time to facilities exceeded 1.5 hours.
- Median one-way public transit time averaged 1.9 hours.
- Longest travel times were observed in younger individuals and specific racial/ethnic groups.
Conclusions:
- Long travel times to clinical care present a significant burden for some individuals with DMD.
- Further research is warranted to understand the full impact of travel on healthcare access for this population.
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