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    Margot Kushel, MD

    Address1001 Potrero Ave, SFGH 10
    San Francisco CA 94143
    Phone415-206-8655

       Biography 
       Education and Training
      University of California, San FranciscoResidency School of Medicine - Primary Care

       Overview 
       Overview
      Margot Kushel, MD is a Professor of Medicine in the Division of General Internal Medicine at San Francisco General Hospital. Margot's research interests include the health and health care utilization patterns of homeless adults and other vulnerable populations; her research includes descriptive epidemiology of the population and the development and evaluation of novel interventions designed to improve outcomes. She is the PI of a NIA funded R01 to study the causes and consequences of geriatric conditions in 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. She was the PI of an R01 grant funded by NIDA that examined the rates of pain and use and misuse of prescription opioid analgesics in a cohort of HIV-infected homeless and marginally housed adults. 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), and is the SFGH site director for the K12 PARTNERS program to fund young investigators in implementation research. She is the Medical Director of the Tenderloin Clinical Research Center (part of the UCSF CTSI Clinical Research Services program). She maintains an active clinical practice in SFGH General Medical Clinic and attends on the inpatient medicine service at SFGH.


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       Bibliographic 
       Publications
      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. 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 3.
        View in: PubMed
      2. 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.
        View in: PubMed
      3. 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.
        View in: PubMed
      4. Kushel M. Improving care for hospitalized, opioid-dependent patients: a promising start. JAMA Intern Med. 2014 Aug 1; 174(8):1377-8.
        View in: PubMed
      5. 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.
        View in: PubMed
      6. Fazel S, Geddes JR, Kushel M. The Health of Homeless Persons in High-Income Countries: Descriptive Epidemiology, Health Consequences and Clinical and Policy Recommendations. The Lancet. In Press. 2014.
      7. 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.
        View in: PubMed
      8. 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.
        View in: PubMed
      9. 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.
        View in: PubMed
      10. Brown RT, Pierlussi E, Guzman D, Kessell E, Goldman LE, Sarkar U, Schneidermann M, Critchfield J, Kushel M. Functional Disability among Late Middle-Aged and Older Adults Admitted to a Safety-Net Hospital. Journal of the American Geriatrics Society. In press. 2014.
      11. 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.
        View in: PubMed
      12. 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.
        View in: PubMed
      13. 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.
        View in: PubMed
      14. 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.
        View in: PubMed
      15. 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.
        View in: PubMed
      16. 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.
        View in: PubMed
      17. 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.
        View in: PubMed
      18. 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.
        View in: PubMed
      19. Kushel M. Older homeless adults: can we do more? J Gen Intern Med. 2012 Jan; 27(1):5-6.
        View in: PubMed
      20. 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.
        View in: PubMed
      21. 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.
        View in: PubMed
      22. 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.
        View in: PubMed
      23. 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.
        View in: PubMed
      24. 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.
        View in: PubMed
      25. 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.
        View in: PubMed
      26. 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.
        View in: PubMed
      27. 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.
        View in: PubMed
      28. 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.
        View in: PubMed
      29. 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.
        View in: PubMed
      30. 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.
        View in: PubMed
      31. 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.
        View in: PubMed
      32. 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.
        View in: PubMed
      33. 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.
        View in: PubMed
      34. 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.
        View in: PubMed
      35. 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.
        View in: PubMed
      36. 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.
        View in: PubMed
      37. 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.
        View in: PubMed
      38. 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.
        View in: PubMed
      39. 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.
        View in: PubMed
      40. 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.
        View in: PubMed
      41. 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.
        View in: PubMed
      42. 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.
        View in: PubMed
      43. 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.
        View in: PubMed
      44. 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.
        View in: PubMed
      45. 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.
        View in: PubMed
      46. 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.
        View in: PubMed
      47. 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.
        View in: PubMed
      48. 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.
        View in: PubMed
      49. 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.
        View in: PubMed
      50. 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.
        View in: PubMed
      51. 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.
        View in: PubMed
      52. 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.
        View in: PubMed
      53. Kushel M, Bindman AB. Health care lobbying: time to make patients the special interest. Am J Med. 2004 Apr 1; 116(7):496-7.
        View in: PubMed
      54. 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.
        View in: PubMed
      55. 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.
        View in: PubMed
      56. Kushel MB, Vittinghoff E, Haas JS. Factors associated with the health care utilization of homeless persons. JAMA. 2001 Jan 10; 285(2):200-6.
        View in: PubMed
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