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    Margot Kushel, MD

    TitleProfessor
    SchoolUCSF School of Medicine
    DepartmentMedicine
    Address1001 Potrero Ave, SFGH 10
    San Francisco CA 94110
    Phone415-206-8655
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      University of California, San FranciscoResidency School of Medicine - Primary Care

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      Margot Kushel, MD is a Professor of Medicine in the Division of General Internal Medicine at the Zuckerberg San Francisco General Hospital and Trauma Center and a core faculty member in UCSF's Center for Vulnerable Population. Margot's research interests include the health and health care utilization patterns of homeless adults and other vulnerable populations and the development and evaluation of novel interventions designed to improve outcomes in individuals who seek care in the safety net. She is the PI of a NIA funded R01 to study the causes and consequences of geriatric conditions in older homeless adults and the Co-PI (with Kelly Knight PhD) of a related study examining how families can be involved in efforts to rehouse older homeless adults. She is a co-investigator on an R-01 award from NIDA (Kelly Knight, PhD PI) to study how pain is experienced by patients and managed by clinicians in safety net settings. Dr. Kushel is the co-Director of the UCSF Primary Care Research Fellowship (for which she is the site director of SFGH-based DGIM fellows). She maintains an active clinical practice in SFGH General Medical Clinic and attends on the inpatient medicine service at SFGH.


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      Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
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      1. Raven MC, Kushel M, Ko MJ, Penko J, Bindman AB, et al. The Effectiveness of Emergency Department Visit Reduction Programs: A Systematic Review. Ann Emerg Med. 2016 Jun 7. PMID: 27287549.
        View in: PubMed
      2. Kushel M. Things Fall Apart: Preventing High Readmission Rates Among Homeless Adults. J Gen Intern Med. 2016 May 16. PMID: 27184753.
        View in: PubMed
      3. Brown RT, Goodman L, Guzman D, Tieu L, Ponath C, Kushel MB. Pathways to Homelessness among Older Homeless Adults: Results from the HOPE HOME Study. PLoS One. 2016; 11(5):e0155065. PMID: 27163478.
        View in: PubMed
      4. Brown RT, Hemati K, Riley ED, Lee CT, Ponath C, Tieu L, Guzman D, Kushel MB. Geriatric Conditions in a Population-Based Sample of Older Homeless Adults. Gerontologist. 2016 Feb 26. PMID: 26920935.
        View in: PubMed
      5. Vijayaraghavan M, Tieu L, Ponath C, Guzman D, Kushel M. Tobacco cessation behaviors among older homeless adults: Results from the HOPE HOME Study. Nicotine Tob Res. 2016 Feb 26. PMID: 26920648.
        View in: PubMed
      6. Lee CT, Guzman D, Ponath C, Tieu L, Riley E, Kushel M. Residential patterns in older homeless adults: Results of a cluster analysis. Soc Sci Med. 2016 Feb 10; 153:131-140. PMID: 26896877.
        View in: PubMed
      7. Ceasar R, Chang J, Zamora K, Hurstak E, Kushel M, Miaskowski C, Knight K. Primary Care Providers' Experiences with Urine Toxicology Tests to Manage Prescription Opioid Misuse and Substance Use Among Chronic Non-Cancer Pain Patients in Safety Net Healthcare Settings. Subst Abus. 2015 Dec 18; 0. PMID: 26682471.
        View in: PubMed
      8. Palar K, Kushel M, Frongillo EA, Riley ED, Grede N, Bangsberg D, Weiser SD. Food Insecurity is Longitudinally Associated with Depressive Symptoms Among Homeless and Marginally-Housed Individuals Living with HIV. AIDS Behav. 2015 Aug; 19(8):1527-34. PMID: 25351185.
        View in: PubMed
      9. Kushel M. The First Step is the Hardest: Overcoming Barriers to Primary Care. J Gen Intern Med. 2015 Jul; 30(7):868-9. PMID: 25788245.
        View in: PubMed
      10. Chodos AH, Kushel MB, Greysen SR, Guzman D, Kessell ER, Sarkar U, Goldman LE, Critchfield JM, Pierluissi E. Hospitalization-Associated Disability in Adults Admitted to a Safety-Net Hospital. J Gen Intern Med. 2015 May 19. PMID: 25986139.
        View in: PubMed
      11. Chan B, Goldman LE, Sarkar U, Schneidermann M, Kessell E, Guzman D, Critchfield J, Kushel M. The Effect of a Care Transition Intervention on the Patient Experience of Older Multi-Lingual Adults in the Safety Net: Results of a Randomized Controlled Trial. J Gen Intern Med. 2015 May 19. PMID: 25986136.
        View in: PubMed
      12. Brown RT, Pierluissi E, Guzman D, Kessell ER, Elizabeth Goldman L, Sarkar U, Schneidermann M, Critchfield JM, Kushel MB. Functional disability in late-middle-aged and older adults admitted to a safety-net hospital. J Am Geriatr Soc. 2014 Nov; 62(11):2056-63. PMID: 25367281; PMCID: PMC4241128 [Available on 11/03/15].
      13. Fazel S, Geddes JR, Kushel M. The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. Lancet. 2014 Oct 25; 384(9953):1529-40. PMID: 25390578.
        View in: PubMed
      14. Goldman LE, Sarkar U, Kessell E, Guzman D, Schneidermann M, Pierluissi E, Walter B, Vittinghoff E, Critchfield J, Kushel M. Support from hospital to home for elders: a randomized trial. Ann Intern Med. 2014 Oct 7; 161(7):472-81. PMID: 25285540.
        View in: PubMed
      15. Kushel M. Improving care for hospitalized, opioid-dependent patients: a promising start. JAMA Intern Med. 2014 Aug; 174(8):1377-8. PMID: 24978013.
        View in: PubMed
      16. Vijayaraghavan M, Freitas D, Bangsberg DR, Miaskowski C, Kushel MB. Non-medical use of non-opioid psychotherapeutic medications in a community-based cohort of HIV-infected indigent adults. Drug Alcohol Depend. 2014 Oct 1; 143:263-7. PMID: 25107312; PMCID: PMC4161633 [Available on 10/01/15].
      17. Jeevanjee S, Penko J, Guzman D, Miaskowski C, Bangsberg DR, Kushel MB. Opioid analgesic misuse is associated with incomplete antiretroviral adherence in a cohort of HIV-infected indigent adults in San Francisco. AIDS Behav. 2014 Jul; 18(7):1352-8. PMID: 24077929; PMCID: PMC3969410 [Available on 07/01/15].
      18. Greysen SR, Hoi-Cheung D, Garcia V, Kessell E, Sarkar U, Goldman L, Schneidermann M, Critchfield J, Pierluissi E, Kushel M. "Missing pieces"--functional, social, and environmental barriers to recovery for vulnerable older adults transitioning from hospital to home. J Am Geriatr Soc. 2014 Aug; 62(8):1556-61. PMID: 24934494; PMCID: PMC4134399 [Available on 08/01/15].
      19. Vijayaraghavan M, Penko J, Vittinghoff E, Bangsberg DR, Miaskowski C, Kushel MB. Smoking behaviors in a community-based cohort of HIV-infected indigent adults. AIDS Behav. 2014 Mar; 18(3):535-43. PMID: 23918243; PMCID: PMC4197834.
      20. Weiser SD, Yuan C, Guzman D, Frongillo EA, Riley ED, Bangsberg DR, Kushel MB. Food insecurity and HIV clinical outcomes in a longitudinal study of urban homeless and marginally housed HIV-infected individuals. AIDS. 2013 Nov 28; 27(18):2953-8. PMID: 23921612.
        View in: PubMed
      21. Vogenthaler NS, Kushel MB, Hadley C, Frongillo EA, Riley ED, Bangsberg DR, Weiser SD. Food insecurity and risky sexual behaviors among homeless and marginally housed HIV-infected individuals in San Francisco. AIDS Behav. 2013 Jun; 17(5):1688-93. PMID: 23086429; PMCID: PMC3618860.
      22. Vijayaraghavan M, Kushel MB, Vittinghoff E, Kertesz S, Jacobs D, Lewis CE, Sidney S, Bibbins-Domingo K. Housing instability and incident hypertension in the CARDIA cohort. J Urban Health. 2013 Jun; 90(3):427-41. PMID: 22752301; PMCID: PMC3665966.
      23. Wang EA, Hong CS, Shavat S, Kessell ER, Sanders R, Kushel MB. Wang et al. Respond. Am J Public Health. 2013 Jun; 103(6):e6-7. PMID: 23597355.
        View in: PubMed
      24. Vijayaraghavan M, Penko J, Bangsberg DR, Miaskowski C, Kushel MB. Opioid analgesic misuse in a community-based cohort of HIV-infected indigent adults. JAMA Intern Med. 2013 Feb 11; 173(3):235-7. PMID: 23319013.
        View in: PubMed
      25. Weiser SD, Hatcher A, Frongillo EA, Guzman D, Riley ED, Bangsberg DR, Kushel MB. Food insecurity is associated with greater acute care utilization among HIV-infected homeless and marginally housed individuals in San Francisco. J Gen Intern Med. 2013 Jan; 28(1):91-8. PMID: 22903407; PMCID: PMC3539018.
      26. Vijayaraghavan M, Penko J, Guzman D, Miaskowski C, Kushel MB. Primary care providers' views on chronic pain management among high-risk patients in safety net settings. Pain Med. 2012 Sep; 13(9):1141-8. PMID: 22846057; PMCID: PMC3443261.
      27. Wang EA, Hong CS, Shavit S, Sanders R, Kessell E, Kushel MB. Engaging individuals recently released from prison into primary care: a randomized trial. Am J Public Health. 2012 Sep; 102(9):e22-9. PMID: 22813476; PMCID: PMC3482056.
      28. Penko J, Mattson J, Miaskowski C, Kushel M. Do patients know they are on pain medication agreements? Results from a sample of high-risk patients on chronic opioid therapy. Pain Med. 2012 Sep; 13(9):1174-80. PMID: 22757769; PMCID: PMC3443332.
      29. Chartier M, Carrico AW, Weiser SD, Kushel MB, Riley ED. Specific psychiatric correlates of acute care utilization among unstably housed HIV-positive adults. AIDS Care. 2012; 24(12):1514-8. PMID: 22533713; PMCID: PMC3789372.
      30. Kushel M. Older homeless adults: can we do more? J Gen Intern Med. 2012 Jan; 27(1):5-6. PMID: 22086754; PMCID: PMC3250535.
      31. Weiser SD, Young SL, Cohen CR, Kushel MB, Tsai AC, Tien PC, Hatcher AM, Frongillo EA, Bangsberg DR. Conceptual framework for understanding the bidirectional links between food insecurity and HIV/AIDS. Am J Clin Nutr. 2011 Dec; 94(6):1729S-1739S. PMID: 22089434; PMCID: PMC3226026.
      32. Straus SG, Chen AH, Yee H, Kushel MB, Bell DS. Implementation of an electronic referral system for outpatient specialty care. AMIA Annu Symp Proc. 2011; 2011:1337-46. PMID: 22195195; PMCID: PMC3243286.
      33. Miaskowski C, Penko JM, Guzman D, Mattson JE, Bangsberg DR, Kushel MB. Occurrence and characteristics of chronic pain in a community-based cohort of indigent adults living with HIV infection. J Pain. 2011 Sep; 12(9):1004-16. PMID: 21684218; PMCID: PMC3164738.
      34. Hansen L, Penko J, Guzman D, Bangsberg DR, Miaskowski C, Kushel MB. Aberrant behaviors with prescription opioids and problem drug use history in a community-based cohort of HIV-infected individuals. J Pain Symptom Manage. 2011 Dec; 42(6):893-902. PMID: 21802896; PMCID: PMC3230691.
      35. Vijayaraghavan M, Penko J, Guzman D, Miaskowski C, Kushel MB. Primary care providers’ judgments of opioid analgesic misuse in a community-based cohort of HIV-infected indigent adults. J Gen Intern Med. 2011 Apr; 26(4):412-8. PMID: 21061084; PMCID: PMC3055969.
      36. Moskowitz D, Thom DH, Guzman D, Penko J, Miaskowski C, Kushel M. Is primary care providers' trust in socially marginalized patients affected by race? J Gen Intern Med. 2011 Aug; 26(8):846-51. PMID: 21394422; PMCID: PMC3138986.
      37. Thom DH, Wong ST, Guzman D, Wu A, Penko J, Miaskowski C, Kushel M. Physician trust in the patient: development and validation of a new measure. Ann Fam Med. 2011 Mar-Apr; 9(2):148-54. PMID: 21403142; PMCID: PMC3056863.
      38. Tsai AC, Weiser SD, Petersen ML, Ragland K, Kushel MB, Bangsberg DR. A marginal structural model to estimate the causal effect of antidepressant medication treatment on viral suppression among homeless and marginally housed persons with HIV. Arch Gen Psychiatry. 2010 Dec; 67(12):1282-90. PMID: 21135328; PMCID: PMC3208399.
      39. Brown RT, Kimes RV, Guzman D, Kushel M. Health care access and utilization in older versus younger homeless adults. J Health Care Poor Underserved. 2010 Aug; 21(3):1060-70. PMID: 20693744.
        View in: PubMed
      40. Williams BA, McGuire J, Lindsay RG, Baillargeon J, Cenzer IS, Lee SJ, Kushel M. Coming home: health status and homelessness risk of older pre-release prisoners. J Gen Intern Med. 2010 Oct; 25(10):1038-44. PMID: 20532651; PMCID: PMC2955468.
      41. Althoff KN, Gange SJ, Klein MB, Brooks JT, Hogg RS, Bosch RJ, Horberg MA, Saag MS, Kitahata MM, Justice AC, Gebo KA, Eron JJ, Rourke SB, Gill MJ, Rodriguez B, Sterling TR, Calzavara LM, Deeks SG, Martin JN, Rachlis AR, Napravnik S, Jacobson LP, Kirk GD, Collier AC, Benson CA, Silverberg MJ, Kushel M, Goedert JJ, McKaig RG, Van Rompaey SE, Zhang J, Moore RD. Late presentation for human immunodeficiency virus care in the United States and Canada. Clin Infect Dis. 2010 Jun 1; 50(11):1512-20. PMID: 20415573; PMCID: PMC2862849.
      42. Kim-Hwang JE, Chen AH, Bell DS, Guzman D, Yee HF, Kushel MB. Evaluating electronic referrals for specialty care at a public hospital. J Gen Intern Med. 2010 Oct; 25(10):1123-8. PMID: 20512531; PMCID: PMC2955477.
      43. Chen AH, Kushel MB, Grumbach K, Yee HF. Practice profile. A safety-net system gains efficiencies through 'eReferrals' to specialists. Health Aff (Millwood). 2010 May; 29(5):969-71. PMID: 20439891.
        View in: PubMed
      44. Wang EA, Hong CS, Samuels L, Shavit S, Sanders R, Kushel M. Transitions clinic: creating a community-based model of health care for recently released California prisoners. Public Health Rep. 2010 Mar-Apr; 125(2):171-7. PMID: 20297743; PMCID: PMC2821844.
      45. Seligman HK, Laraia BA, Kushel MB. Food insecurity is associated with chronic disease among low-income NHANES participants. J Nutr. 2010 Feb; 140(2):304-10. PMID: 20032485; PMCID: PMC2806885.
      46. Deeks SG, Gange SJ, Kitahata MM, Saag MS, Justice AC, Hogg RS, Eron JJ, Brooks JT, Rourke SB, Gill MJ, Bosch RJ, Benson CA, Collier AC, Martin JN, Klein MB, Jacobson LP, Rodriguez B, Sterling TR, Kirk GD, Napravnik S, Rachlis AR, Calzavara LM, Horberg MA, Silverberg MJ, Gebo KA, Kushel MB, Goedert JJ, McKaig RG, Moore RD. Trends in multidrug treatment failure and subsequent mortality among antiretroviral therapy-experienced patients with HIV infection in North America. Clin Infect Dis. 2009 Nov 15; 49(10):1582-90. PMID: 19845473; PMCID: PMC2871149.
      47. Sewell JL, Kushel MB, Inadomi JM, Yee HF. Non-English speakers attend gastroenterology clinic appointments at higher rates than English speakers in a vulnerable patient population. J Clin Gastroenterol. 2009 Aug; 43(7):652-60. PMID: 19169147; PMCID: PMC2713371.
      48. Weiser SD, Bangsberg DR, Kegeles S, Ragland K, Kushel MB, Frongillo EA. Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco. AIDS Behav. 2009 Oct; 13(5):841-8. PMID: 19644748; PMCID: PMC2758196.
      49. Kim Y, Chen AH, Keith E, Yee HF, Kushel MB. Not perfect, but better: primary care providers' experiences with electronic referrals in a safety net health system. J Gen Intern Med. 2009 May; 24(5):614-9. PMID: 19308334; PMCID: PMC2669877.
      50. Yen IH, Hammond WP, Kushel MB. From homeless to hopeless and healthless?: the health impacts of housing challenges among former foster care youth transitioning to adulthood in California. Issues Compr Pediatr Nurs. 2009; 32(2):77-93. PMID: 21992092.
        View in: PubMed
      51. Reid KW, Vittinghoff E, Kushel MB. Association between the level of housing instability, economic standing and health care access: a meta-regression. J Health Care Poor Underserved. 2008 Nov; 19(4):1212-28. PMID: 19029747.
        View in: PubMed
      52. Das-Douglas M, Riley ED, Ragland K, Guzman D, Clark R, Kushel MB, Bangsberg DR. Implementation of the Medicare Part D prescription drug benefit is associated with antiretroviral therapy interruptions. AIDS Behav. 2009 Feb; 13(1):1-9. PMID: 18483850; PMCID: PMC3591735.
      53. Ma CT, Gee L, Kushel MB. Associations between housing instability and food insecurity with health care access in low-income children. Ambul Pediatr. 2008 Jan-Feb; 8(1):50-7. PMID: 18191782.
        View in: PubMed
      54. Kushel MB, Yen IH, Gee L, Courtney ME. Homelessness and health care access after emancipation: results from the Midwest Evaluation of Adult Functioning of Former Foster Youth. Arch Pediatr Adolesc Med. 2007 Oct; 161(10):986-93. PMID: 17909143.
        View in: PubMed
      55. Seligman HK, Bindman AB, Vittinghoff E, Kanaya AM, Kushel MB. Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999-2002. J Gen Intern Med. 2007 Jul; 22(7):1018-23. PMID: 17436030; PMCID: PMC2583797.
      56. Adams J, Rosenheck R, Gee L, Seibyl CL, Kushel M. Hospitalized younger: a comparison of a national sample of homeless and housed inpatient veterans. J Health Care Poor Underserved. 2007 Feb; 18(1):173-84. PMID: 17337806.
        View in: PubMed
      57. Kushel MB, Miaskowski C. End-of-life care for homeless patients: "she says she is there to help me in any situation". JAMA. 2006 Dec 27; 296(24):2959-66. PMID: 17190897.
        View in: PubMed
      58. Kessell ER, Bhatia R, Bamberger JD, Kushel MB. Public health care utilization in a cohort of homeless adult applicants to a supportive housing program. J Urban Health. 2006 Sep; 83(5):860-73. PMID: 16779686; PMCID: PMC2438584.
      59. Hahn JA, Kushel MB, Bangsberg DR, Riley E, Moss AR. BRIEF REPORT: the aging of the homeless population: fourteen-year trends in San Francisco. J Gen Intern Med. 2006 Jul; 21(7):775-8. PMID: 16808781; PMCID: PMC1924700.
      60. Kushel MB, Colfax G, Ragland K, Heineman A, Palacio H, Bangsberg DR. Case management is associated with improved antiretroviral adherence and CD4+ cell counts in homeless and marginally housed individuals with HIV infection. Clin Infect Dis. 2006 Jul 15; 43(2):234-42. PMID: 16779752.
        View in: PubMed
      61. Kushel MB, Gupta R, Gee L, Haas JS. Housing instability and food insecurity as barriers to health care among low-income Americans. J Gen Intern Med. 2006 Jan; 21(1):71-7. PMID: 16423128; PMCID: PMC1484604.
      62. Bhandari VK, Kushel M, Price L, Schillinger D. Racial disparities in outcomes of inpatient stroke rehabilitation. Arch Phys Med Rehabil. 2005 Nov; 86(11):2081-6. PMID: 16271552.
        View in: PubMed
      63. Kushel MB, Hahn JA, Evans JL, Bangsberg DR, Moss AR. Revolving doors: imprisonment among the homeless and marginally housed population. Am J Public Health. 2005 Oct; 95(10):1747-52. PMID: 16186453; PMCID: PMC1449431.
      64. Tsai M, Weintraub R, Gee L, Kushel M. Identifying homelessness at an urban public hospital: a moving target? J Health Care Poor Underserved. 2005 May; 16(2):297-307. PMID: 15937393.
        View in: PubMed
      65. Walley AY, White MC, Kushel MB, Song YS, Tulsky JP. Knowledge of and interest in hepatitis C treatment at a methadone clinic. J Subst Abuse Treat. 2005 Mar; 28(2):181-7. PMID: 15780548.
        View in: PubMed
      66. Kushel M, Bindman AB. Health care lobbying: time to make patients the special interest. Am J Med. 2004 Apr 1; 116(7):496-7. PMID: 15047042.
        View in: PubMed
      67. Kushel MB, Evans JL, Perry S, Robertson MJ, Moss AR. No door to lock: victimization among homeless and marginally housed persons. Arch Intern Med. 2003 Nov 10; 163(20):2492-9. PMID: 14609786.
        View in: PubMed
      68. Kushel MB, Perry S, Bangsberg D, Clark R, Moss AR. Emergency department use among the homeless and marginally housed: results from a community-based study. Am J Public Health. 2002 May; 92(5):778-84. PMID: 11988447; PMCID: PMC1447161.
      69. Kushel MB, Vittinghoff E, Haas JS. Factors associated with the health care utilization of homeless persons. JAMA. 2001 Jan 10; 285(2):200-6. PMID: 11176814.
        View in: PubMed
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