This study assessed how neurologists perceive the organization and functioning of multiple sclerosis care units. As a cross-sectional, observational study conducted in collaboration with the Spanish Society of Neurology, an electronic survey of 116 neurologists revealed that 39.7% of participants identified a need for improvement in their unit's care processes based on the Care Process Self-Assessment Tool (CPSET). The primary areas for improvement were collaboration with primary care and patient follow-up. A significant negative correlation was observed between lower CPSET scores and a higher prevalence of clinician occupational stress (p = 0.035), with 28.4% of neurologists reporting burnout. These findings suggest that enhancing care coordination could improve care delivery for patients and help mitigate the risk of burnout for clinicians.