This study examines the purpose, methodology, findings, and originality value of implementing telemedicine in tertiary hospitals across different regions of China. The primary purpose is to address the significant imbalance in medical resources between urban and rural areas by leveraging telehealth systems, particularly focusing on the development and application of telemedicine. Methodology: The research employs a mixed-methods approach, incorporating a literature review, surveys, and statistical analysis. Questionnaires, designed by telemedicine experts, were distributed to 185 tertiary hospitals, with a focus on telemedicine implementation, application, and key contributing factors. The survey design is optimized to represent the diversity of China's healthcare landscape. Findings: The findings reveal a stark contrast in healthcare resources between the eastern, central, and western regions of China. Telemedicine platforms have been established in 22 provinces, covering 13,000 medical institutions. Tertiary hospitals, especially in the eastern region, play a pivotal role in providing telemedicine services. The study outlines the challenges, financial aspects, and factors influencing the success of telemedicine implementation in China. Originality Value: This research provides original insights into the development of telemedicine in China, focusing on the telehealth system's impact on healthcare accessibility. It explores the educational background of telemedicine staff, funding sources, and the role of government support. The study also identifies key challenges and implications for practical telemedicine applications in addressing healthcare disparities, emphasizing the transformative potential of telemedicine in China's healthcare landscape.