Abstract:Objective：To understand the two-way referral willingness of medical staff in Fujian province and its influencing factors，so as to provide scientific basis for the improvement of grading diagnosis and treatment system and related policies. Methods：From July to August2021，medical staff in Fuzhou，Xiamen，Longyan，Nanping，Putian and Zhangzhou were selected as the study subjects.A self-designed questionnaire was used to investigate basic demographic information，awareness of referral and willingness of referral. The influencing factors of medical staff’s referral intention were analyzed by Logistic regression model. Results：A total of 260 medical personnel were investigated，of which 136 were men（52.31%）and 124 were women（47.69%）. There were 155（59.62%）fromtertiaryhospitals and 105（40.38%）fromsecondary and below hospitals.There were 15staffs（5.77%）in private hospitals and 245staffs（94.23%）in public hospitals. 213 patients（81.92%）were aware of the two-way referral. 205（78.85%）knew the referral procedure and policy.210 medical staffs were willing to refer patients，accounting for 80.77% . The results of multiple logistic regression model showed that encouraging referral，increasing the turnover rate of beds and paying more than 50 yuan for referral were the influencing factors（P < 0.05）. Conclusion：Medical staff have a strong willingness to refer，which is related to the encouragement of referral，the improvement of bed turnover rate and the referral fee.