Herd health management is a critical issue for the future of dairy systems. The right combination of preventive and curative practices will depend on management system, level of work productivity, and self-sufficiency objectives, and will entail specific skills and work organizations. However, the combination of work dimensions and animal health management has rarely been explored in the literature on a livestock farming system scale. The Grand Ouest region of France spans a diverse array of livestock farming systems that can serve to design herd health management indicators, farming objectives and work arrangements, and explore their linkages. Here we ran semi-structured interviews on 10 dairy farms, analyzed the farmers’ discourses, and built 7 variables and 25 modalities that, for the first time, cover three components, namely herd health, farming objectives and work arrangements, and we tested various associations between these variables. Our interview data confirms that consultants and veterinarians have a key role to play in building a pool of skills adapted to various types of health management system. Data suggests linkages between prevention measures, alternative or conventional curative interventions, and work-related parameters.

牛群健康管理是乳制品系统未来的一个关键问题。预防和治疗实践的正确结合将取决于管理体系、工作生产力水平和自给自足的目标，并且需要特定的技能和工作组织。然而，在畜牧业系统规模的文献中很少探讨工作维度和动物健康管理的结合。西部大酒店法国地区涵盖多种畜牧业系统，可用于设计牛群健康管理指标、农业目标和工作安排，并探索它们之间的联系。我们对 10 个奶牛场进行了半结构化访谈，分析了奶农的话语，构建了 7 个变量和 25 个模式，首次涵盖牛群健康、养殖目标和工作安排三个组成部分，并测试了各种这些变量之间的关联。我们的采访数据证实，顾问和兽医在建立适应各种类型的健康管理系统的技能库方面可以发挥关键作用。数据表明预防措施、替代或传统治疗干预措施以及与工作相关的参数之间存在联系。