This article presents a quality evaluation model for measuring the performance of hospital Web sites. The model is developed on the basis of a conceptual framework, which consists of seven major e-service quality dimensions, including tangibles, reliability, responsiveness, confidence, empathy, quality of information, and integration of communication issues of Web sites. The dimensions and their associated attributes are first obtained from published articles in the health care and information technology literature and then adapted according to the suggestions of related domain experts. Two multicriteria decision-making methods are used in the evaluation procedure. Determined Web site evaluation dimensions and their relevant attributes are weighted using the Analytic Hierarchy Process (AHP) method. Vagueness in some stages of the evaluation required the incorporation of fuzzy numbers in the assessment process. Both fuzzy and crisp data are then synthesized using the fuzzy PROMETHEE (Preference Ranking Organization Method for Enrichment Evaluation) ranking method. The model is applied initially to measure the performance of the Web sites of Turkish hospitals. This study should be of interest to health care and technology practitioners and researchers, as the findings shed light on the further development of performance measurements for hospital Web sites. (c) 2006 Wiley Periodicals, Inc.