Puška Adis, Stević Željko, Pamučar Dragan
University of Bijeljina, Pavlovića put bb, 76300 Bijeljina, Bosnia and Herzegovina.
Faculty of Transport and Traffic Engineering, University of East Sarajevo, Vojvode Mišića 52, 74000 Doboj, Bosnia and Herzegovina.
Environ Dev Sustain. 2022;24(9):11195-11225. doi: 10.1007/s10668-021-01902-2. Epub 2021 Oct 26.
Disposal of healthcare waste is a key issue of environmental sustainability in the world. The amount of healthcare waste is increasing every day, and it is necessary to adequately dispose of this kind of waste. There are various treatments for healthcare waste disposal, of which incineration of healthcare waste is one of the solutions. This paper suggests a model for selection of the type of incinerators that best solve the problem of healthcare waste in secondary healthcare institutions in Bosnia and Herzegovina. In the selection of incinerators, extended sustainability criteria were applied. Basic sustainability criteria: environmental, economic, and social criteria, were extended with the technical criterion. To assess which of the incinerators best meets the needs for healthcare waste collection, multi-criteria decision-making was used. For this purpose, a combination of two MCDA methods was applied in this paper, namely full consistency method (FUCOM) and compromise ranking of alternatives from distance to ideal solution (CRADIS). The FUCOM method was applied to determine the weights of the criteria, while the CRADIS method was applied to rank the alternatives. The best alternative of the six alternatives used is A2 (I8-M50), followed by alternative A1 (I8-M40), while the worst ranked alternative is A5 (I8-M100). These results were confirmed by applying the other six methods of multi-criteria analysis and the performed sensitivity analysis. The contribution of this paper is reflected through a new method of multi-criteria analysis that was used to solve decision-making problems. This method has shown simplicity and flexibility in operation and can be used in all problems when it is necessary to make a multi-criteria selection of alternatives.
医疗废物的处置是全球环境可持续性的一个关键问题。医疗废物的数量每天都在增加，对这类废物进行妥善处置很有必要。医疗废物处置有多种处理方式，其中医疗废物焚烧是解决方案之一。本文提出了一种模型，用于选择最能解决波斯尼亚和黑塞哥维那二级医疗机构医疗废物问题的焚烧炉类型。在焚烧炉的选择中，应用了扩展的可持续性标准。基本的可持续性标准，即环境、经济和社会标准，通过技术标准得到了扩展。为了评估哪种焚烧炉最能满足医疗废物收集需求，采用了多准则决策方法。为此，本文应用了两种多准则决策分析方法的组合，即完全一致性方法（FUCOM）和基于距离理想解的替代方案折衷排序法（CRADIS）。FUCOM方法用于确定准则的权重，而CRADIS方法用于对替代方案进行排序。所使用的六个替代方案中最佳的是A2（I8 - M50），其次是替代方案A1（I8 - M40），而排名最差的替代方案是A5（I8 - M100）。通过应用其他六种多准则分析方法和进行的敏感性分析，证实了这些结果。本文的贡献体现在用于解决决策问题的一种新的多准则分析方法上。这种方法在操作上显示出简单性和灵活性，并且在需要对替代方案进行多准则选择的所有问题中都可以使用。
