Administrative mandates can be implemented to change physician behavior, with consequences including claim denial for inappropriate behavior, financial incentives, and penalties for specific behaviors. The first study to report a successful intervention to decrease total antibiotic use in ambulatory practice was a noncontrolled study from the New Mexico Experimental Medical Care Review Organization from 1972 to 1975 (31). In this study, provider education and strict review of practice was implemented to improve the use of injectable antibiotics for common respiratory tract infections. If strict prescription review indicated inappropriate use of antimicrobial agents, the payment was denied by the organization. Their initiative was associated with a modest reduction in total antibiotic use for bronchitis, influenza, and upper respiratory infections in this Medicaid population.
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If you suffer with asthma, you will no doubt be familiar with the uncomfortable sensations as your bronchial tubes begin to narrow and your muscles around them start to tighten. A sticky mucus known as phlegm begins to produce and increase within your bronchial tubes and you begin to wheeze, cough and struggle to breathe.