Taiwan launched a telemedicine service for rural area since 1995. In this study, a qualitative evaluations of Taiwan's telemedicine was performed to assess various measures of effectiveness (e.g., diagnostic accuracy), efficiency (e.g., cost), and participant's altitudes to determine its success. Qualitative data were collected from semistructured interviews with thematic analysis. Basically the system was successful to perform tele-consultation. However, network quality improvement, special instruments for different disease, and more specified training were also need for further telemedicine services.