Abstract: The development of contracted family doctor services（CFDSs） requires the cooperation and support of each part of the health care system.County/region-level medical centers own large amounts of high-quality local medical resources，and are the leader among the institutions in the local health care system.Moreover，they play important roles in supporting the delivery of CFDSs in the local area.From the perspectives of value chain and stakeholders，we determined their roles in the local development of CFDSs，which are as follows：a platform for providing health care technology supports for the local implementation of CFDSs；a trainer for the local family doctor teams；a supplier of high-quality medical resources for the local family doctor teams；a part of the supply chain ensuring the continuity of CFDSs.So，during the implementation of CFDSs，efforts should be taken to make county/region-level medical centers play their full roles，thereby promoting the synergetic development of both the two.

Key words: Health services administration, County （district） medical center, Family doctor contract services, Value-chain, Stakeholder analysis

摘要： 家庭医生签约服务的发展需要卫生服务系统各个环节的协同和支持，县（区）域医疗中心是县域医疗卫生服务体系龙头，聚集了区域优质医疗资源，是县域家庭医生签约服务工作的重要支撑。本文从价值链和利益相关者的角度进行分析，明确了县（区）域医疗中心在家庭医生签约服务发展中发挥的作用分别是：县域家庭医生签约服务的医疗技术支撑平台；县域家庭医生团队的培训主体；县域家庭医生团队优质医疗资源的供给者；连续性家庭医生签约服务的供给环节之一；进一步使县（区）域医疗中心在家庭医生签约服务开展过程中充分发挥作用，进而促进县（区）域医疗中心和县域家医服务的协同发展。

关键词: 卫生服务管理, 县（区）域医疗中心, 家庭医生签约服务, 价值链, 利益相关者分析