Purpose/Signifcance To explore the development of telemedicine services in hospitals of different grades in China, and to analyze the development process of telemedicine services, so as to provide references for the sound development of telemedicine. Method/Process An online questionnaire survey is conducted to investigate the implementation of telemedicine services in hospitals in 26 provinces (municipalities directly under the central government and autonomous regions)in China. Descriptive analysis, chi-square test and rank-sum test are used to analyze the starting time, service type, service volume of telemedicine, and the development of remote consultation by SPSS 25.0 software. Result/Conclusion 72.0% tier-3 hospitals and 82.2% tier-2 hospitals begin to provide telemedicine services from 2011. The main service types are remote consultation, remote education, remote electrocardiogram diagnosis, remote imaging diagnosis and remote pathological diagnosis, the service types need to be expanded, and the response time of remote consultation should be further shortened to improve the efficiency and quality of telemedicine services.