Abstract: The design and implementation of exercise referral services in health systems is becoming a public health priority. 18 exercise referral models have been established in selected countries, and in 43 countries have implemented the service. By analyzing the successful cases such as the Exercise Referral Scheme, Physical Activity Prescription, Green Prescription, Exercise is Medicine and the National Exercise Referral Scheme, we found that various countries have designated exercise referral as a healthcare service for all people. The health authority has led a cross-sectoral collaboration to formulate the national standards and technical specifications, established a system for training talents in the whole education cycle and professional qualifications, and carried out long-term monitoring and multidimensional evaluations. In China, the existing 33 models of integrating sports and medicine are concrete actions taken by local governments to implement the Healthy China strategy, the establishment of exercise referral services at the national level requires: 1) Setting up exercise referrals by leveraging the infrastructure and service system of existing healthcare institutions and integrating them into the healthcare service system; 2) establishing and improving the relevant policies, national standards, talent training, supervision and evaluation systems; 3) identifying policy barriers and conduct whole-population, whole-care setting, whole-region and whole-spectrum-of-disease pilot works; 4) promoting and updating iterative exercise referral services to achieve the translation of evidence-based exercise interventions into population health outcomes.