目的 探讨广东省某大型精神病专科医院的病人来源分布的规律与社会影响力，为医疗机构的健康发展、合理配置 医疗资源提供科学依据。方法 利用医院病案管理系统，对住院患者病案首页的地址栏信息分析出院患者来源分 布，研究医院服务范围的变化趋势。结果 在广州市脑科医院2010-2013年的19543例出院患者中，广州市住院病人 数量呈逐年下降的趋势，而本省外市地区和外省病人数量持续上升趋势。结论 在大型精神专科医院的经营效果影 响因素中，政策的支持、自身的医疗、教学、科研水平与医院的服务水平的提升与强烈的社会责任意识，对病源分 布、社会影响力有深远的影响。

Objective To investigate patient source distribution and social influence in a large psychiatric hospital of Guangdong and provide scientific basis for the healthy development of medical institutions and the rational allocation of medical resources. Methods We made use of hospital case management system and researched the changing trends of services by analysis of patient source distribution come from home address field of medical record information of 19543 inpatients of Guangzhou psychiatric hospital in 2010-2013. Results It was a declining trend in the number of inpatients in Guangzhou. And the inpatients from other provinces and outside the city continued upward trend. Conclusion Support of policies, enhancing medical treatment, teaching, scientific research level, upgrading service level of hospital and a sense of social responsibility had a profound impact for the distribution of pathogens, social influence in the impact of factors on operating results in a large psychiatric hopital.