Recognizing the challenges in quality control and risk management for remote tumor ablation amid rapid digitalization, this paper addresses the limitations of existing performance evaluation systems, which rely excessively on subjective expertise or data-driven metrics alone. A health-sensitive, six-dimensional framework rooted in Balanced Scorecard (BSC) theory is proposed, integrating technical empowerment, clinical efficacy, cost-effectiveness, patient safety, information security compliance, and regulatory alignment. Through a systematic literature review and Delphi consultation with 13 multidisciplinary experts, 39 performance indicators were identified and weighted using a novel Superiority Degree-Entropy Weight (SD-EW) method, combining expert judgment with entropy-based calculations. Technical empowerment (0.194) emerged as top priorities, reflecting systemic fragility dimensions critical to performance. This integrated approach provides a replicable tool for healthcare institutions to holistically assess service efficiency and risk management while offering policymakers evidence-based insights to refine telemedicine regulations in complex, fragile healthcare systems.