{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:42:25Z","timestamp":1759452145766,"version":"build-2065373602"},"reference-count":29,"publisher":"Institute for Operations Research and the Management Sciences (INFORMS)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Management Science"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p> When a member of a work team leaves, some knowledge is lost to the organization. Exploiting quasi-random turnover among military physicians because of deployments, I estimate the effects of turnover on patients and other providers in the same care team. I find that a discontinuity in primary care leads to a 3%\u20135% increase in costs driven primarily by an increase in the use and intensity of specialty care with no observable benefit to the patient as measured by potential reductions in hospitalization rates and emergency department usage. This indicates that the full cost of turnover includes a reduction in access to knowledge among remaining members of the team. <\/jats:p><jats:p> This paper was accepted by Carri Chan, healthcare management. <\/jats:p><jats:p> Supplemental Material: The online appendix and data files are available at https:\/\/doi.org\/10.1287\/mnsc.2021.03884 . <\/jats:p>","DOI":"10.1287\/mnsc.2021.03884","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T08:50:51Z","timestamp":1737967851000},"page":"8289-8303","source":"Crossref","is-referenced-by-count":0,"title":["The Value of Specific Knowledge: Evidence from Disruptions to the Patient\u2013Physician Relationship"],"prefix":"10.1287","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7268-0568","authenticated-orcid":false,"given":"Stephen D.","family":"Schwab","sequence":"first","affiliation":[{"name":"Department of Management, University of Texas at San Antonio, San Antonio, Texas 78249"}]}],"member":"109","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpubeco.2018.11.001"},{"key":"B2","doi-asserted-by":"crossref","unstructured":"Agha L, Ericson KM, Geissler KH, Rebitzer JB (2022) Team relationships and performance: Evidence from healthcare referral networks. 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