Quality of care was analyzed in 2,782 clinical appointments, focusing on the evaluation of the six basic steps of medical consultation: a) questionnaire, b) physical examination, c) diagnosis, d) prescription, e) information, and f) appointment management. Serious deficiencies were found, with variations depending on the motive of the visit, the type of unit in which the service was given, etc. In order to improve the quality of care a structural change is suggested, both in the health care services and in medical education.
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