Objective To design a telemedicine platform in support of hemodialysis and to explore the effect in patients on hemodialysis in the community. Methods An intra-regional telemedicine platform was designed and utilized in 34 patients on maintenance hemodialysis in the community.It combines functions for remote monitoring, distance consulting, community-hospital bilateral referral and quality control.The quality of hemodialysis and complications were compared before and 3 months after the implementation. Results After the implementation, rate of body weight control, the qualified rates of urea clearance index and hemoglobin were significantly higher, while the rates of intradialytic hypotension and hypoglycemia were significantly lower than the baseline values (P＜0.05 for all). Conclusion Application of the telemedicine platform in support of remote hemodialysis in the community can reduce intradialytic complications and improve quality of hemodialysis.