A comprehensive review on applications of multi-criteria decision-making methods in healthcare waste management.

IF 3.7 4区 环境科学与生态学 Q3 ENGINEERING, ENVIRONMENTAL
Santonab Chakraborty, Rakesh D Raut, T M Rofin, Shankar Chakraborty
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Abstract

Effective management of healthcare waste (HCW) imposes a great challenge to all countries. Specially in the developing countries, it is often mixed with municipal waste, adversely affecting the health and safety of the medical personnel, general public and environment. Healthcare waste management (HCWM) basically deals with segregation, collection and storage, routing and transportation, treatment and safe disposal of HCW, while obeying some national legislation. In every stage of HCWM, there are several alternative choices/strategies to be evaluated against a set of conflicting criteria. Numerous multi-criteria decision-making (MCDM) methods have appeared to resolve the issue. This article reviews 101 articles available in Scopus and other scholarly databases on applications of MCDM techniques in solving HCWM problems. Those articles are classified into six groups: (a) selection of the most effective HCW treatment technology, (b) identification of the best HCW disposal site, (c) assessment of the best-performing healthcare unit adopting ideal HCWM strategies, (d) selection of third party logistics providers, (e) identification of HCWM barriers and (f) evaluation of specific HCWM plans. It is observed that the past researchers have mostly preferred to apply MCDM tools for solving HCW treatment technology selection problems, whereas analytic hierarchy process, decision-making trial and evaluation laboratory and best-worst method and fuzzy set theory have been the mostly favoured MCDM tool, criteria weight measurement techniques and uncertainty model, respectively. The outcomes of this article would help the healthcare personnel/policymakers in unveiling the current status of HCWM research, exploring extant research gaps and challenges and providing future directions leading to sustainable environment.

多准则决策方法在医疗废物管理中的应用综述
医疗废物的有效管理对所有国家都是一个巨大的挑战。特别是在发展中国家,它经常与城市废物混合,对医务人员、公众和环境的健康和安全产生不利影响。医疗废物管理(HCWM)基本上涉及医疗废物的隔离、收集和储存、路由和运输、处理和安全处置,同时遵守一些国家立法。在HCWM的每个阶段,都有几个备选选择/策略需要根据一组相互冲突的标准进行评估。许多多准则决策(MCDM)方法已经出现来解决这个问题。本文综述了Scopus和其他学术数据库中关于MCDM技术在解决HCWM问题中的应用的101篇文章。这些文章分为六组:(a)选择最有效的HCW处理技术,(b)确定最佳HCW处置地点,(c)评估采用理想HCWM策略的最佳医疗保健单位,(d)选择第三方物流供应商,(e)确定HCWM障碍和(f)评估具体的HCWM计划。研究发现,过去研究人员更倾向于使用MCDM工具解决HCW处理技术选择问题,而层次分析法、决策试验与评价实验室、最佳-最差法和模糊集理论分别是MCDM工具、标准权重测量技术和不确定性模型最受青睐的工具。本文的研究结果将有助于医疗保健人员/决策者揭示HCWM研究的现状,探索现有的研究差距和挑战,并为未来的可持续发展提供方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Waste Management & Research
Waste Management & Research 环境科学-工程:环境
CiteScore
8.50
自引率
7.70%
发文量
232
审稿时长
4.1 months
期刊介绍: Waste Management & Research (WM&R) publishes peer-reviewed articles relating to both the theory and practice of waste management and research. Published on behalf of the International Solid Waste Association (ISWA) topics include: wastes (focus on solids), processes and technologies, management systems and tools, and policy and regulatory frameworks, sustainable waste management designs, operations, policies or practices.
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