One aspect of personalized medicine that’s often overlooked is the “personalized” culture of the hospital, where effectiveness and efficiency are highly dependent on internally shared beliefs, attitudes, habits and ethics.  Because hospitals are bureaucratic in structure, behavior of the C level executives filters throughout the organization, and if leaders are evasive, unreliable, indecisive, and dishonest, their influence makes long term adaptation to change improbable if not impossible.   MORE