摘    要：目的 了解浙江省民宿卫生现状和卫生监管中存在的问题，探究改善民宿卫生状况的方法，为提高民宿监管水平提供对策与建议。方法 查阅浙江省卫生监督信息系统中的住宿场所监督检测统计结果，获得2017年浙江省民宿卫生监督检测的相关数据，运用统计学方法与宾馆、经济型快捷酒店进行比较，得出民宿的卫生现状与存在的问题。根据目的抽样的方法，对若干名卫生监督人员进行半结构化定性访谈，运用扎根理论分析浙江省民宿卫生监管的模式，探究民宿卫生监管中存在的问题与可能的解决方法。结果 2017年浙江省民宿总数12179家，卫生许可率46.33%，量化分级率99.93%，其中C级民宿占92.20%。民宿的卫生情况中，从业人员健康体检和培训考核合格率97.56%，消毒设施设备配备合格率10.48%，卫生检测合格率58.01%，公共用品用具抽检合格率82.86%。民宿卫生监管模式由行业管理、卫生部门监管和社会监督三部分组成，卫生部门监管的核心是卫生许可和量化分级管理。民宿卫生标准难以界定、卫生状况参差不齐、监管人员不足等问题是民宿卫生监管中的难点。结论 民宿的卫生状况还有待加强，特别是消毒设施设备和卫生检测。民宿卫生监管模式已初步形成，应进一步完善以卫生许可和量化分级管理为基础的卫生监管模式，探索以精准执法为核心和鼓励自我监督的监管方式，加强互联网环境下政府监督与社会监督的协同。

关键词：民宿； 卫生现状； 卫生监管；扎根理论

Abstract：Objective： To understand the status quo of the health of homestay in Zhejiang province and the problems existing in health supervision, to explore ways to improve the health conditions of the homestay, and to provide measures and suggestions for improving the supervision level of the homestay. Methods： The statistical data of accommodation supervision and inspection in Zhejiang Province's health supervision information system was consulted, and the relevant data of the health supervision and inspection of hotels in Zhejiang Province in 2017 were obtained. The statistical methods were compared with hotels and economical hotels to find out the health status of the hotels. With the problems. According to the purpose of the sampling method, semi-structured qualitative interviews were conducted with several health supervisors, and the model of homestay hygiene supervision in Zhejiang Province was analyzed using grounded theory to explore the problems and possible solutions in the supervision of homestay hygiene. Results： In 2017, the total number of homestays in Zhejiang Province was 12,179, the sanitation permission rate was 46.33%, and the quantitative classification rate was 99.93%, of which the Grade C guesthouses accounted for 92.20%. In the health conditions of the homestay, the qualified rate of health examinations and training examinations of employees was 97.56%, the pass rate of equipment for disinfection facilities was 10.48%, the pass rate of health tests was 58.01%, and the pass rate of public goods equipment was 82.86%. The model of hotel health supervision consists of three parts: industry management, health sector supervision, and social supervision. The core of health sector supervision is health license and quantitative management. The difficulty in defining the health standards of the hotels, the uneven health conditions, and the lack of supervision personnel are the difficulties in the health supervision of the hotels. Conclusion：The health status of the homestay needs to be strengthened, especially the disinfection of facilities and equipment and hygiene testing. The health supervision mode of the hotel has been initially formed. The health supervision model based on hygiene permits and quantitative and hierarchical management should be further improved. The supervision method that focuses on precision law enforcement and self-supervision should be explored to strengthen the coordination of government supervision and social supervision under the Internet environment.