Capability of Different Multi-Criteria Decision-Making Techniques in the Performance Assessment of the Hospitals in Terms of Medical Waste Management
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Abstract
Background: Assessing the performance of hospitals in waste management requires considering several criteria of different types. The multiplicity of the criteria and how they are weighed and, ultimately, the ranking of hospitals; are among the most complex challenges faced by the environmental health authorities. This research tried to assess the capability of four commonly used multi-criteria decision-making methods, as well as a hybrid technique for performance assessment of six hospitals in Tehran City, Iran, in 2018 regarding waste management.
Methods: The effective criteria and sub-criteria were identified by reviewing the relevant literature. The data collection tool was a self-constructed checklist developed based upon the identified criteria and sub-criteria and analysis of the collected data was done in MATLAB software. The sample hospitals were ranked based on the scores given to the management performance of hospitals.
Results: The final rankings by the different techniques did not differ significantly. According to the results of the hybrid method, among six studied hospitals, the top three hospitals were Hospital C, B, and A respectively, regarding hospital waste reduction criteria. These hospitals generally had an acceptable performance in terms of waste management, especially waste disinfection and separation at the origin.
Conclusion: In assessing the performance and ranking of hospitals in terms of waste management, hybrid multi-criteria decision-making techniques can be used as a useful tool in waste management planning. By identifying the areas in need of corrective actions and choosing the appropriate strategy, they pave the way for improving the performance of hospitals in the field of waste management.
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6. Baghapour MA, Shooshtarian MR, Javaheri MR, et al (2018). A computer-based ap-proach for data analyzing in hospital’s health-care waste management sector by developing an index using consensus-based fuzzy multi-criteria group decision-making models. Int J Med Inform,118: 5-15.
7. Banaiy-Ghahfarokhi B, Sadeghi M, Jazayeri S, et al (2013). The study of applicable ways for hospital waste disposal using SWOT method JOURNAL OF SHAHREKORD UNIVERSITY OF MEDICAL SCIENCES, 14(6): 60-71.
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21. Masoumbeigi H, Karimi Zarchi AA, Tajik J(2009). Reduction methods of hospital solid waste production. J Mil Med, 11 (3): 127-133.
22. Ramezani M, Danayee kh, Rouh Parvar R, et al (2012). Guideline for evaluating accredita-tion standards of hospital waste management unit in Iran. Ministry of Health and Medical Education, Deputy of Treatment, Office of Supervision and Accreditation of Medical Affairs, Tehran, p.:1-89.
23. Aung TS, Luan S, Xu Q (2019). Application of multi-criteria-decision approach for the analysis of medical waste manage-ment systems in Myanmar. Journal of Cleaner Production, 222: 733-745.
24. McPherson JA. Healthcare Waste Manage-ment for Hospitals in Resource-Constrained Settings: What Determines Effective Implementation? [PhD thesis]. School of Global Public Health, Universi-ty of North Carolina, Chapel Hill, 2015.
25. Gunawardana KD (2018). An analysis of medical waste management practices in the health care sector in Colombo. Man-age Environ Qual, 29 (5): 813-25.
26. Mugo LN. Factors influencing waste man-agement in public hospitals in Nakuru county[Master of Art]. School of Contin-uing and Distance Education, University of Nairobi, Kenya; 2017.
27. Akcan S, Güldeş M (2019). Integrated Mul-ticriteria Decision-Making Methods to Solve Supplier Selection Problem: A Case Study in a Hospital. J Healthc Eng. 2019: 1-10.
28. Sarraf R, McGuire MP(2020). Integration and comparison of multi-criteria deci-sion-making methods in safe route plan-ner. Expert Systems with Applications, 154(2):113399.
29. Zavadskas EK, Govindan K, An-tucheviciene J, et al (2016). Hybrid multi-ple criteria decision-making methods: A review of applications for sustainability issues. Econ Res-Ekon Istraz, 29(1):857-887.
30. Zhu T, Luo L, Liao H, et al (2019). A hybrid multi-criteria decision-making model for elective admission control in a Chinese public hospital. Knowl Based Syst, 173: 37-51.
31. Mardani A, Zavadskas EK, Khalifah Z, et al (2017). A review of multi-criteria decision-making applications to solve energy man-agement problems: Two decades from 1995 to 2015. Renew Sustain Energy Rev, 71: 216-56.
32. Büyüközkan G, Göçer F, Karabulut Y (2019). A new group decision-making approach with IF AHP and IF VIKOR for selecting hazardous waste carriers. Measurement, 134:66-82.
2. Liao H, Mi X, Yu Q, et al (2019). Hospital performance evaluation by a hesitant fuzzy linguistic best worst method with inconsistency repairing. Journal of Cleaner Production, 232: 657-671.
3. Ansari M, Ehrampoush MH, Farzadkia M, et al (2019). Dynamic assessment of eco-nomic and environmental performance index and generation, composition, envi-ronmental and human health risks of hospital solid waste in developing coun-tries; A state of the art of review. Environ Int, 132: 105073.
4. Zamparas M, Kapsalis VC, Kyriakopoulos GL, et al (2019). Medical waste manage-ment and environmental assessment in the Rio University Hospital, Western Greece. Sustainable Chemistry and Pharmacy, 13: 100163.
5. Castillo-Giménez J, Montañés A, Picazo-Tadeo AJ (2019). Performance and con-vergence in municipal waste treatment in the European Union. Waste Manag, 85: 222-231.
6. Baghapour MA, Shooshtarian MR, Javaheri MR, et al (2018). A computer-based ap-proach for data analyzing in hospital’s health-care waste management sector by developing an index using consensus-based fuzzy multi-criteria group decision-making models. Int J Med Inform,118: 5-15.
7. Banaiy-Ghahfarokhi B, Sadeghi M, Jazayeri S, et al (2013). The study of applicable ways for hospital waste disposal using SWOT method JOURNAL OF SHAHREKORD UNIVERSITY OF MEDICAL SCIENCES, 14(6): 60-71.
8. Sadeghi M, Banaiy Ghahfarokhi B, Jazayeri SR (2014). Environmental health in hospital: Techhnical Guidline on Assessment and Hospital Waste Disposal. 1st ed. Asare Sobhan-Yarras Inc, Tehran, pp.: 1-164.
9. Davoodi R, Eslami Hasan Abadi S, Sabouri G, et al (2014). Medical Waste Manage-ment in the second largest City of Iran (Mashhad) with Three-Million Inhabit-ants. Patient Saf Qual Improv, 2(4): 160-164.
10. Askarian M, Vakili M (2003). Managing Hospital Wastes in Hospitals Affiliated to Shiraz University of Medical Sciences, 2001. J Med Res, 1(4): 41-53.
11. Parvaresh A.A., Banagozar Ahari R., Khosravi R (2000). Investigating how to separate, transfer, and dispose the wasts of the hospitals and health centers in Is-fahan. 3rd National Conference on Envi-ronmental Health, Kerman: 283-93. https://civilica.com/doc/78552
12. Taghipour H, Mosaferi M (2009). Character-ization of medical waste from hospitals in Tabriz, Iran. Sci Total Environ, 407(5): 1527-35.
13. Eslami A, Nowrouz P, Sheikholeslami S (2017). Status and challenges of medical waste management in hospitals of Iran. Civ Eng J, 3(9): 741-8.
14. Jaafari J, Dehghani MH, Hoseini M, et al (2015). Investigation of hospital solid waste management in Iran. World Rev Sci Tech Sustain Dev, 12(2): 111-25.
15. Teimori GH, Fattahzadeh M, Avakh A, et al (2014). Review of hospital waste man-agement in Iran. International Journal of Sci-ences: Basic and Applied Research (IJSBAR), 8(6): 649-655.
16. Lotfi R, Mostafaeipour A, Mardani N, et al (2018). Investigation of wind farm loca-tion planning by considering budget con-straints. Int J Sustain Energ, 37(8): 799-817.
17. Amiri M, Pourghasemi HR, Arabameri A, et al (2019). 16-Prioritization of flood inundation of Maharloo Watershed in iran using morphomet-ric parameters analysis and TOPSIS MCDM model. In: Spatial modeling in GIS and R for earth and environmental sciences. eds, Pourghasemi and Gokceoglu. Else-vier, pp.: 371-390.
18. Liu HC, Wu J, Li P (2013). Assessment of health-care waste disposal methods using a VIKOR-based fuzzy multi-criteria deci-sion-making method. Waste Manag, 33(12): 2744-51.
19. Bahadori MK, Ali mohammadzade K (2015). Multi-criteria decision-making models In the field of health. 1st ed. Specialized media Inc, Iran, pp.:1-147.
20. Alimohammadzadeh, K., Bahadori, M., & Hassani, F. (2016). Application of analyti-cal hierarchy process approach for ser-vice quality evaluation in radiology de-partments: A cross-sectional study. Iran J Radiol, 13 (1): e29424.
21. Masoumbeigi H, Karimi Zarchi AA, Tajik J(2009). Reduction methods of hospital solid waste production. J Mil Med, 11 (3): 127-133.
22. Ramezani M, Danayee kh, Rouh Parvar R, et al (2012). Guideline for evaluating accredita-tion standards of hospital waste management unit in Iran. Ministry of Health and Medical Education, Deputy of Treatment, Office of Supervision and Accreditation of Medical Affairs, Tehran, p.:1-89.
23. Aung TS, Luan S, Xu Q (2019). Application of multi-criteria-decision approach for the analysis of medical waste manage-ment systems in Myanmar. Journal of Cleaner Production, 222: 733-745.
24. McPherson JA. Healthcare Waste Manage-ment for Hospitals in Resource-Constrained Settings: What Determines Effective Implementation? [PhD thesis]. School of Global Public Health, Universi-ty of North Carolina, Chapel Hill, 2015.
25. Gunawardana KD (2018). An analysis of medical waste management practices in the health care sector in Colombo. Man-age Environ Qual, 29 (5): 813-25.
26. Mugo LN. Factors influencing waste man-agement in public hospitals in Nakuru county[Master of Art]. School of Contin-uing and Distance Education, University of Nairobi, Kenya; 2017.
27. Akcan S, Güldeş M (2019). Integrated Mul-ticriteria Decision-Making Methods to Solve Supplier Selection Problem: A Case Study in a Hospital. J Healthc Eng. 2019: 1-10.
28. Sarraf R, McGuire MP(2020). Integration and comparison of multi-criteria deci-sion-making methods in safe route plan-ner. Expert Systems with Applications, 154(2):113399.
29. Zavadskas EK, Govindan K, An-tucheviciene J, et al (2016). Hybrid multi-ple criteria decision-making methods: A review of applications for sustainability issues. Econ Res-Ekon Istraz, 29(1):857-887.
30. Zhu T, Luo L, Liao H, et al (2019). A hybrid multi-criteria decision-making model for elective admission control in a Chinese public hospital. Knowl Based Syst, 173: 37-51.
31. Mardani A, Zavadskas EK, Khalifah Z, et al (2017). A review of multi-criteria decision-making applications to solve energy man-agement problems: Two decades from 1995 to 2015. Renew Sustain Energy Rev, 71: 216-56.
32. Büyüközkan G, Göçer F, Karabulut Y (2019). A new group decision-making approach with IF AHP and IF VIKOR for selecting hazardous waste carriers. Measurement, 134:66-82.
| Files | ||
| Issue | Vol 51 No 2 (2022) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v51i2.8696 | |
| Keywords | ||
| Performance Waste minimization Hospital waste | ||
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How to Cite
1.
Mardani S, Alimohammadzade K, Maher A, Hosseini SM, Yaghmaeian K. Capability of Different Multi-Criteria Decision-Making Techniques in the Performance Assessment of the Hospitals in Terms of Medical Waste Management. Iran J Public Health. 2022;51(2):426-437.
