Abstract: Background　Health-promoting hospitals are an important practice in the modern medical model. In China，the pilot project of health-promoting hospitals has been launched in 2013. Current research is mostly focused on the optimization of the indicator system，lacking the refinement of regional characteristic models and the in-depth deconstruction of local practices. The pilot project of health-promoting hospitals in Zhejiang Province initiated in 2007. Relevant management measures and assessment standards were issued in 2013. Systematic promotion of pilot research and practice promotion of health-promoting hospitals in Zhejiang Province were early on a provincial scale. Policy texts and empirical data are accumulated，making it in Zhejiang Province an ideal sample for regional research. Objective　To analyze the policy system and practical results of health-promoting hospitals in Zhejiang Province，and to refine the regional characteristic construction model and supplement quantitative evidence，thus providing references for building a regional health-promoting hospital model in China and promoting the high-quality development of public hospitals. Methods　This study was carried out from March 2024 to June 2025，and the data were available from hospital evaluation reports and construction data of health-promoting hospitals from second-level and above hospitals in 11 cities of Zhejiang Province from 2007 to 2023. Policy text research combined with in-depth analysis of typical hospitals was conducted to summarize the policy implementation and practical experience in the construction of health-promoting hospitals in Zhejiang Province. Quasi-experimental research was performed to quantitatively analyze health intervention effects on patients and hospital employees from non-randomly selected three hospitals. Results　In Zhejiang Province，a three-in-one health-promoting hospital model of "policy guarantee-technical support-intervention evaluation" with regional characteristics was created. The coverage rate of health-promoting hospital construction in secondary and above hospitals increased from 40.6%（157/387） in 2017 to 100.0%（388/388） in 2023. Quasi-experimental research showed that in terms of patient intervention effects，patients' daily health behavior practice when discharged is significantly better than that on admission after the construction of the health-promoting hospitals（P<0.05）. Taking the health intervention for postoperative abdominal distension as an example，the patients' postoperative abdominal distension cognitive level，medical compliance behavior and acceptance rate of intervention measures were significantly higher than before the construction（P<0.05），and the incidence of postoperative abdominal distension was significantly lower than before the construction after the construction of the health-promoting hospitals（P<0.05）. In terms of the intervention effect of hospital employees，the commuting patterns，exercise behaviors，vegetable and fruit intake，and sleeping conditions of hospital employees significantly improved compared with before the construction（P<0.05），and the proportion of hospital employees with a body mass index（BMI） within the reference range was significantly higher than before the construction（P<0.05）. Conclusion　The high-quality and long-term development of health-promoting hospitals requires mutual promotion and coordinated development of policy guidance and intervention practice. Health intervention measures have achieved significant results in optimizing the medical service model，promoting the health of patients and hospital employees，enhancing health promotion capabilities，and improving health literacy.

Key words: Health-promoting hospitals, Health promotion, Health education, Hospital administration, Health policy, Zhejiang

摘要： 背景　健康促进医院是现代医学模式的重要实践。我国于2013年启动健康促进医院试点工作，目前研究多集中于指标体系优化，缺乏对区域特色模式的提炼和对地方实践的深度解构。浙江省于2007年启动健康促进医院试点建设，2013年出台相关管理办法与考核标准，在全国较早以省域范围系统推进试点研究与实践推广，积累了丰富政策文本与实证数据，是区域研究的理想样本。目的　探讨浙江省健康促进医院的政策体系与实践成效，提炼区域特色建设模式，补充量化证据，为国内构建区域性健康促进医院模式、推进公立医院高质量发展提供参考。方法　本研究的开展时间为2024年3月—2025年6月，资料来源于2007—2023年浙江省11个市二级及以上医院的健康促进医院评估报告及建设数据。采用政策文本研究，结合典型医院深度剖析，汇总浙江省健康促进医院建设的政策体系和实践经验；采用准试验研究，非随机选取3所医院，对患者和医院员工健康干预效果进行定量分析。结果　浙江省形成了具有地域特色的“政策保障-技术支撑-干预评估”三位一体的健康促进医院模式，二级及以上医院的健康促进医院建设覆盖率从2017年的40.6%（157/387）提升到2023年的100.0%（388/388）。准试验研究结果显示：在患者干预效果方面，健康促进医院建设后，患者出院时的日常健康行为践行情况总体上优于入院时（P<0.05）；以术后腹胀健康干预为例，健康促进医院建设后，患者的术后腹胀认知水平、遵医行为及干预措施接受率高于建设前（P<0.05），术后腹胀发生率低于建设前（P<0.05）。在医院员工干预效果方面，建设健康促进医院后，医院员工的通勤方式、锻炼行为、蔬菜水果摄入、睡眠情况较建设前改善（P<0.05），BMI在参考范围内的员工比例高于建设前（P<0.05）。结论　健康促进医院高质量长期发展需要政策引导与干预实践相互促进、协同发展，健康干预措施在优化医疗服务模式、促进患者和医务人员健康、增强健康促进能力和提升健康素养等方面成效明显。

关键词: 健康促进医院, 健康促进, 健康教育, 医院管理, 卫生政策, 浙江