title: Redirecting health care spending: consumer-directed health care.
abstract: In an environment of rising health care costs, defined contribution plans and closely related consumer-directed health plans are emerging as a possible next phase in health plan development and offer new opportunities for the nursing profession.
authors.affiliation: Health Administration Programs, University of North Florida, Department of Public Health, Jacksonville, FL, USA.
authors.forename: JoAnn
authors.initials: J
authors.lastname: Nolin
authors.forename: Janet
authors.initials: J
authors.lastname: Killackey
mesh_terms: D003363:Cost Control; D003659:Decision Making, Organizational; D003669:Deductibles and Coinsurance / Q000191:economics; D003695:Delivery of Health Care / Q000458:organization & administration; D006264:Health Benefit Plans, Employee / Q000458:organization & administration*; D005102:Health Expenditures / Q000706:statistics & numerical data; D006801:Humans; D007255:Information Services / Q000458:organization & administration; D020380:Needs Assessment / Q000458:organization & administration; D024802:Nurse's Role; D009936:Organizational Innovation; D009937:Organizational Objectives; D010353:Patient Education as Topic / Q000458:organization & administration; D010358:Patient Participation / Q000379:methods; D018802:Patient-Centered Care / Q000458:organization & administration*