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Table 2 Framework of themes and factors associated with Dental General Anaesthetics (DGAs) in children in Victoria

From: What factors are associated with dental general anaesthetics for Australian children and what are the policy implications? A qualitative study

Themes

Main associated factors

1. Criteria for DGAs

• Importance of preventing dental caries

• Variation in views about appropriate threshold for paediatric DGAs

• Perceived increase in dental caries prevalence and dental care needs

• Change in attitude by OHPs to DGAs

• Limitation of existing guidelines

2. Child factors

• Greater emphasis on children’s attitude toward dental treatment

• Possible change in behavioural management techniques

3. Dental provider factors

 

 3.1. Paediatric dentist factors

• Quality of care

• Case selection for DGAs

 3.2. General dentist factors

• Reluctance to treat young children

• Changes in general dental practice

• Limited alternatives to DGAs

 3.3. Dental therapist factors

• Increased employment in private practice

• Role as primary oral health care workers

4. Parent factors

• Convenience of DGAs

• Parenting styles

• Oral health literacy

• Guilt

• Cultural variations

5. Risk

• Improved safety of DGAs

• Mortality

• Morbidity

6. Financial impact

• Private sector DGA cost

• Public sector DGA cost

7. Access to general anaesthetic facilities

• Economic efficiencies

• Dental provider issues

• Department of Health policy factors

• Rural hospital issues.

8. Treatment provided and follow-up after a DGA

• Emergency and elective DGAs

• Appropriate dental treatment under DGAs

• Follow up prevention appointments