To analyze the related causes of the use of remote consultations in community hospitals and prison hospitals， we randomly selected two primary hospitals that conduct telemedicine services with our hospital in Hefei to conduct on?site questionnaire survey. Based on the DTPB?PRT model and structural equation models， this study explored the influencing mechanism of patients using remote consultation from six dimensions: perceived usefulness and ease of use， perceived risk， social factors， perception of medical costs， subjective norms and behavioral intentions， and test the path relationship between model elements. The results show that the influence of community hospitals from large to small was patient attitude， social factors， subjective norms perceived usefulness， perceived risk， perceived ease of use and medical expenses. Assumptions based on medical costs in prison hospital patients is not tenable. And the factors affecting patients were found to be social factors， attitudes， perceived usefulness， subjective norms， perceived ease of use and perceived risk.Therefore， it is suggested that community hospitals should pay attention to reducing the price standard of telemedicine and improve the medical experience of patients， and strengthen patient awareness and improve their technical level and further promote the development of remote consultation in China.