Methodology

SpaScoreTM

A multi-dimensional quality rating system for thermal spas and longevity clinics, grounded in peer-reviewed academic research.

7 categories 100 points Peer-reviewed research

Why SpaScore

No objective quality standard exists for thermal spas. Hotel stars and TripAdvisor reviews don't capture what matters: medical credentials, water quality, and treatment protocols.

SpaScore distinguishes termalismo sanitario (licensed medical spas) from termalismo social (wellness facilities), enabling fair comparisons across different price tiers.

7 Evaluation Categories

Each spa is evaluated across 7 dimensions, totaling 100 points. Weights reflect relative importance validated by academic research.

25

Medical Excellence

Licensed medical staff, specialties, certifications, treatment protocols.

Academic basis: MDPI C4 (16.12%) + Heilbad + EuropeSpa med

25 /100

Subcriteria

Staff Depth 8pts

21+ doctors = 8pts

Medical Specialties 5pts

+1 per specialty

Verified Credentials 4pts

License + registry check

Certifications 4pts

Heilbad, EuropeSpa med, national

Protocols 2pts

Documented, evidence-based

Infrastructure 2pts

Exam rooms, equipment

20

Innovation & Research

Diagnostic capabilities, longevity services, research programs, technology.

Academic basis: NEW: Modern longevity medicine

20 /100

Subcriteria

Diagnostics 5pts

Lab, imaging, biomarkers

Longevity 5pts

Epigenetics, biological age, telomeres

Research 4pts

Active studies, publications

Technology 4pts

AI, digital health, tracking

Innovation Culture 2pts

University partnerships, patents

20

Therapeutic Resources

Water classification, thermal properties, mineral uniqueness, source protection.

Academic basis: MDPI C8 (15.02%) + SAM + Heilbad

20 /100

Subcriteria

Official Classification 6pts

Mineral, medicinal, Heilwasser

Thermal Properties 5pts

>38C (hyperthermal) = 5pts

Mineral Uniqueness 4pts

Rare composition = 4pts

Protection 3pts

Protected zone, sustainable

Indications 2pts

Documented therapeutic uses

12

Wellness & Facilities

Spa circuits, accommodation, treatment rooms, accessibility.

Academic basis: MDPI C1 + C5 + C6 combined

12 /100

Subcriteria

Thermal Circuits 3pts

Basic to exceptional

Accommodation 3pts

Quality and diversity

Treatment Rooms 2pts

Adequate equipment

Accessibility 2pts

Mobility access

Amenities 2pts

Gardens, pools, common areas

10

Value Proposition

Price-quality ratio, packages, social programs, flexibility.

Academic basis: NEW: Cross-tier price fairness

10 /100

Subcriteria

Price-Quality Ratio 4pts

Competitive for quality level

Packages 2pts

Diverse options

Social Programs 2pts

Insurance, government programs

Flexibility 2pts

Cancellation, payment options

8

Experience & Service

Programs, gastronomy, service quality, surroundings.

Academic basis: MDPI C2 + C7 combined

8 /100

Subcriteria

Programs 2pts

Wellness activities

Gastronomy 2pts

Healthy cuisine

Service 2pts

Trained staff

Surroundings 2pts

Nature, culture

5

Sustainability

Environmental certifications, energy, water management, local sourcing.

Academic basis: NEW: EU Green Deal alignment

5 /100

Subcriteria

Environmental Certification 2pts

ISO 14001, EMAS

Energy 1pts

Renewables, efficiency

Water 1pts

Sustainable management

Local 1pts

Local suppliers

Grade Scale

Letter grades provide intuitive communication of overall quality.

A+
Exceptional
92-100 pts

World-class benchmark facility

A
Excellent
85-91 pts

Top-tier comprehensive excellence

A-
Very Good
78-84 pts

Strong across most dimensions

B+
Good
70-77 pts

Above average, standout areas

B
Above Average
62-69 pts

Solid performer

B-
Average
55-61 pts

Meets basic expectations

C+
Below Average
45-54 pts

Notable gaps

C
Basic
0-44 pts

Significant improvement needed

NR Not Rated — Spa not claimed or insufficient data

Non-Thermal Facilities

Longevity clinics and wellness centers without thermal waters compete on the same 100-point scale but cannot score in the Therapeutic Resources category.

Maximum achievable: 80/100 points Must excel in Medical Excellence and Innovation to compete

Knockout Criteria

Inspired by EuropeSpa certification, certain conditions cap the maximum achievable score.

No licensed medical staff on-site

Medical category capped at 12/25 (48%)

Cannot claim medical excellence without doctors

No verified water analysis (thermal facilities)

Resources category capped at 10/20 (50%)

Self-reported water claims unreliable

Known safety/hygiene violations

Total score capped at 60/100

Safety is non-negotiable

Verification Levels

Every data point in SpaScore has an associated confidence level.

Verified

Confirmed against official sources. Licenses checked against medical registries. Safe to cite as fact.

Claimed

Information provided by the establishment. Identity verified. Cite as: "According to the establishment..."

Estimated

Based on public information. No establishment input. Cite as: "Based on available data..."

Academic Foundation

SpaScore is grounded in peer-reviewed research on spa competitiveness.

Mijajlovic et al. (2020)

Determining the Competitiveness of Spa-Centers Using Fuzzy MCDM

Sustainability
DOI: 10.3390/su12208584
Pamucar et al. (2018)

Full Consistency Method (FUCOM)

Symmetry
DOI: 10.3390/sym10090393
Stevic et al. (2020)

MARCOS Method for Healthcare Supplier Selection

Computers & Industrial Engineering
Tomic & Kosic (2020)

Spa Assessment Model (SAM)

Tourism Management Perspectives
DOI: 10.1016/j.tmp.2020.100753

Key findings incorporated

  • 1 Treatment/therapy is the #1 criterion — Academic weight: 16.12%. SpaScore responds with Medical Excellence at 25%.
  • 2 Natural conditions ranks #2 — Academic weight: 15.02%. SpaScore responds with Therapeutic Resources at 20%.
  • + Innovation gap identified — Not present in MDPI study. SpaScore adds Innovation & Research at 20%.

Transparency Principles

Independent

No paid rankings or sponsored scores

Objective

Verifiable criteria, reproducible methodology

Academic

Grounded in peer-reviewed research

Fair

Same criteria applied to all establishments

Transparent

Methodology publicly documented

Updatable

Scores revised with new verified information

Explore spas with SpaScore

Find spas rated objectively according to our academic methodology.

SpaScore™ is a trademark of Happyberg.
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