Mardani Sheida, Alimohammadzadeh Khalil, Maher Ali, Hoseini Seyed Mojtaba, Yaghmaeian Kamyar
Department of Health Services Management, School of Management, North Tehran Branch, Islamic Azad University, Tehran, Iran.
Health Economics Policy Research Center, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.
Iran J Public Health. 2022 Feb;51(2):426-437. doi: 10.18502/ijph.v51i2.8696.
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.
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.
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.
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.
评估医院在废物管理方面的表现需要考虑多种不同类型的标准。标准的多样性、它们的权重方式以及最终医院的排名，是环境卫生当局面临的最复杂挑战之一。本研究试图评估四种常用的多标准决策方法以及一种混合技术，用于评估2018年伊朗德黑兰市六家医院在废物管理方面的表现。
通过查阅相关文献确定有效标准和子标准。数据收集工具是根据确定的标准和子标准自行编制的清单，并在MATLAB软件中对收集到的数据进行分析。根据医院管理绩效得分对样本医院进行排名。
不同技术得出的最终排名没有显著差异。根据混合方法的结果，在六家研究医院中，就医院废物减少标准而言，排名前三的医院分别是医院C、B和A。这些医院在废物管理方面总体表现尚可，尤其是在废物消毒和源头分类方面。
在评估医院在废物管理方面的表现和排名时，混合多标准决策技术可作为废物管理规划中的有用工具。通过确定需要采取纠正措施的领域并选择合适的策略，它们为提高医院在废物管理领域的表现铺平了道路。
