Aim: Traditional Chinese medicine (TCM) health tourism is a key emerging force in China’s health tourism industry. However, issues like illegal practices and poor service quality have hindered its development. This study aimed to establish a standardized evaluation system to ensure service quality. Methods: Evaluation items were extracted from literature and industry standards. Using the Donabedian model (Structure-Process-Outcome), an analytic hierarchy process and a two-round Delphi method with 13 experts were applied. Expert reliability was tested, and empirical analysis validated the system. Results: A system with 3 dimensions (Structure 0.489, Process 0.289, Outcome 0.223), 8 first-level items, and 29 second-level items was developed. Key indicators included Performance and Safety (0.107), Service Planning (0.092), and Staff Disposition (0.070). Expert response rates were 76.92% and 100%, and the evaluated hospital scored 93.4 (three stars). Conclusions: The system clarifies access criteria and quality standards for TCM health tourism, guiding consumer choices and promoting industry development through regulation and resource allocation.