Purpose/Significance To investigate the operation status of telemedicine facilities in hospitals of different classifications and the evaluation of medical staff on the operation of facilities, so as to provide scientific basis for further promoting the construction of telemedicine and improving the level of telemedicine services. Method/Process Through an online questionnaire survey, the configuration and operation of telemedicine terminals in medical institutions are collected nationwide, and the feedback of medical personnel on the convenience of operation of telemedicine system is investigated. By using SPSS 25.0 software, descriptive analysis method is adopted to evaluate the availability of telemedicine facilities, and variance analysis is used to compare the differences in equipment failure frequency, the operation convenience of telemedicine system and facility evaluation in hospitals of different classifications from the perspective of medical institutions and medical personnel. Result/Conclusion The overall failure rate of telemedicine equipment is low, and the use of telemedicine system is relatively convenient, but the hospital information system is relatively poor to meet the needs of telemedicine, and the telemedicine system connections between different hospitals, as well as the telemedicine infrastructure facilities of primary medical institutions need to be further improved.