Abstract: Objective： To construct and promote a dual referral system of infertility diagnosis and treatment in a reasonable and practical manner， and try to solve the problems of construction of dual referral systems in sanitary system, as a exploratory stage. Methods： The standardized diagnosis and treatment procedure of infertility and sterility and the clinical pathway of preliminary screening on the pathogeny of fertility and sterility were established. The database system of electronic management was put into practice which was developed in our center and named CCRM. The advanced training course of 3 months' duration, together with the lecture circuit and experts out-calls, was held. The clinical shortcut service system,so called Green Channel Clinic, and the demonstration clinics were set up. Results： The preliminary statistics， from 2006 to 2008， showed that the number of referrals reached 573 person-time from the eight outpatient clinics， with the referral rate of 8.8%（573/6 501）. In 2009, the referrals was 447 person-time from the 10 outpatient clinics， with the referral rate of 2.88%（４４７/15 ５2７）． Ｆｒｏｍ Ｊａｎｕａｒｙ ２００５ ｔｏ Ｓｅｐｔｅｍｂｅｒ ２０１０， ｔｈｅ ｎｕｍｂｅｒ ｏｆ referral patients accepted by Green Channel Clinic was 648； the experts out-call times was 44， and the number of accepted referral outpatients was 1 240; 133 trainees finished their three-months' advanced training program; the training courses were held up to 16 times with 1 223 participants； 27 outpatient clinics of infertility and sterility were set up； 32 hospitals joined in the training of the database system. Conclusions： It is concluded from our practice that good results were achieved on effective infertility diagnosis and treatment due to the construction of the infertility dual referral system. By establishment of the standardized fertility diagnosis and treatment procedure and the clinical pathway of preliminary screening on the pathogeny of fertility and sterility, patients' medical cost was reduced, patients’ difficulty in access to high-quality medical services was relieved, significance of the dual referral system was embodied.

Key words: Infertility, Referral and consultation, Health systems agencies, Physician’s practice patterns, Health services administration