Purpose/Significance To develop a scientific and operational multidimensional evaluation index system for the quality of internet medical services, so as to promote service optimization and quality enhancement. Method/Process Based on the SERVQUAL model, combined with literature review and expert interviews, an initial pool of indicators is constructed. Through three rounds of Delphi expert consultations, indicators are systematically screened. Analytic hierarchy process (AHP) is employed to determine weights for all hierarchical indicators. Result/Conclusion The evaluation system comprises five primary dimensions (reliability, responsiveness, tangibles, assurance and empathy) and 34 secondary indicators. The system takes into account patient experience, institutional operations and policy requirements, providing theoretical basis and practical tools for assessing and continuously improving internet hospital service quality.