By Diana Gifford Jones —— Bio and Archives--February 21, 2026
Health and Medicine | Comments | Back To Full Article

There’s a common organizational saying: structure drives behaviour. In institutional theory, it’s called path dependence. Once a structure or pattern is established, it becomes self-reinforcing. This is a problem in medicine. Researchers and specialists become deeply immersed in their own areas of expertise. They network within tight knowledge clusters. They protect their territory. And when they train recruits, they filter out possible solutions to problems before deliberation even begins.
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