Veterinarians, Paraprofessionals, Farmers and the Quality of Clinical Veter...

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英文文献：Veterinarians, Paraprofessionals, Farmers and the Quality of Clinical Veterinary Services: A role play experiment-兽医、辅助专业人员、农民和临床兽医服务质量:一个角色扮演实验
英文文献作者：Ilukor, John,Birner, Regina
英文文献摘要：
The study examines the interaction of farmers, veterinarians and paraprofessionals in provision of clinical veterinary services. It uses a role play experiment to examine how farmers and service providers interaction influences the quality and demand for clinical services. The game was played in four rounds and quality of clinical services was measured using scores in drug prescription for selected animal diseases in each round. Statistical tests were performed to test whether quality of services provided by paraprofessionals and veterinarians differ. Service provider learning curves were constructed to examine whether the quality of services provided by paraprofessionals improves as they continue to interact with veterinarians. Farmer’s belief updating curves were also constructed to examine whether farmers change their beliefs about paraprofessionals on receiving information about quality of their services. A logistic regression model for binary panel data was estimated to determine factors that influence farmer decisions to change service providers. Results show that the quality of services offered by veterinarians are not significantly different from services offered by paraprofessional’s trained in veterinary science. However, the quality of services offered by service providers who are not trained in veterinary medicine are significantly different from those offered by veterinary trained service providers. Continued interaction between paraprofessionals and veterinarians gradually leads to improvement in quality of clinical veterinary services among paraprofessionals with general agriculture and social science training but not with paraprofessionals with no formal training or education. Farmers do not easily to change their beliefs about paraprofessionals and this depends on gender of the farmer, previous outcome and livestock production system. The paper argues that the slow pace in which farmers update their beliefs about paraprofessionals limits paraprofessional’s willingness and readiness to learn or consult with veterinarians. However, use of animal health medical cards would induce paraprofessionals to provide quality services and enable farmers to measure the quality of services thus improving quality clinical services in the long run.

本研究调查了农民、兽医和辅助专业人员在提供临床兽医服务中的相互作用。它使用角色扮演实验来研究农民和服务提供者的互动如何影响临床服务的质量和需求。该游戏进行了四轮，通过在每轮选定的动物疾病的药物处方得分来衡量临床服务的质量。对非专业人员和兽医提供的服务质量是否不同进行了统计检验。服务提供者学习曲线被构建来检验辅助专业人员提供的服务质量是否随着他们继续与兽医互动而提高。此外，本研究还构建了农民信念更新曲线，以检验农民在接受有关服务质量的信息时，是否会改变他们对非专业人员的信念。对二元面板数据的logistic回归模型进行了估计，以确定影响农户改变服务提供者决策的因素。结果显示，兽医提供的服务质量与非专业兽医提供的服务质量无显著差异。然而，未接受过兽医学培训的服务提供者所提供的服务质量与接受过兽医学培训的服务提供者所提供的服务质量有显著差异。非专业人员与兽医之间的持续互动，逐渐导致受过一般农业和社会科学培训的非专业人员临床兽医服务质量的提高，但没有受过正式培训或教育的非专业人员没有。农民不容易改变他们对非专业人员的看法，这取决于农民的性别、以前的结果和牲畜生产系统。这篇论文认为，农民更新他们对兽医信念的速度太慢，限制了兽医学习或咨询兽医的意愿和准备程度。然而，使用动物健康医疗卡将促使辅助专业人员提供优质服务，并使农民能够衡量服务质量，从而从长远来看提高临床服务质量。

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