When it comes to a chronic illness, the patient is responsible. It is up to them to decide whether they take the steps indicated to them to deal with their illness. Most patients may think that it's just not worth it to go through all the motions and then succumb to the disease. Others think they will do everything they can to stay healthy and try to live as long as possible. Patients empower themselves to succeed when it comes to chronic illness. Whether or not they choose to take this step is entirely up to them. Primary care provided to a patient may end up sending the patient to a Coumadin clinic to help manage their condition. It is especially important that there be a strong healthcare relationship between the PCP and the clinic. Patients taking Coumadin usually need to be monitored and have regular blood tests to see if their medications need to be adjusted in any way. These results will be sent to primary care so they can see if the plan that was developed for the patient is working or not. This relationship can be classified as