Purpose/Significance The paper analyzes the application of remote consultation in Henan province and the factors affecting service efficiency, optimizes service mode, and provides suggestions for the sound development of telemedicine. Method/Process The volume of remote consultation business, patient and doctor data, and consultation process data carried out through the regional telemedicine integrated service platform in Henan province in 2022 are collected and sorted out. IBM SPSS 23.0 software is used to analyze the distribution of patients and business development of remote consultation, and factors affecting the efficiency of consultation are analyzed through multiple logistic regression. Result/Conclusion The level of the hospital applying for remote consultation and the consultation department affect the duration of the consultation process. The consultation department, expert titles, and referral suggestions are the main factors affecting the response time of consultation. It is suggested to optimize the service process of remote consultation, enhance the enthusiasm of doctors to participate in consultation, reduce the response time of consultation, and improve the efficiency of consultation.