Puška Adis, Štilić Anđelka, Pamucar Dragan, Simic Vladimir, Petrović Nataša
Department of Public Safety, Government of Brčko District, Brcko District, Bosnia and Herzegovina.
Academy of Applied Studies Belgrade, College of Tourism, Bulevar Zorana Đinđića 152a, 11070, Belgrade, Serbia.
Environ Sci Pollut Res Int. 2024 Mar 2. doi: 10.1007/s11356-024-32630-5.
The escalating volume of healthcare waste (HCW) generated by healthcare facilities poses a pressing challenge for all nations. Adequate management and disposal of this waste are imperative to mitigate its adverse impact on human lives, wildlife, and the environment. Addressing this issue in Bosnia and Herzegovina involves the establishment of a regional center dedicated to HCW management. In practice, there are various treatments available for HCW management. Therefore, it is necessary to determine the priority for procuring different treatments during the formation of this center. To assess these treatment devices, expert decision-making employed the fuzzy-rough approach. By leveraging extended sustainability criteria, experts initially evaluated the significance of these criteria and subsequently assessed the devices for HCW treatment. Employing the fuzzy-rough LMAW (Logarithm Methodology of Additive Weights), the study determined the importance of criteria, highlighting "Air emissions" and "Annual usage costs" as the most critical factors. Utilizing the fuzzy-rough CoCoSo (the Combined Compromise Solution) method, six devices employing incineration or sterilization for HCW treatment were ranked. The findings indicated that the "Rotary kiln" and "Steam disinfection" emerged as the most favorable devices for HCW treatment based on this research. This conclusion was validated through comparative and sensitivity analyses. This research contributes by proposing a solution to address Bosnia and Herzegovina's HCW challenge through the establishment of a regional center dedicated to HCW management.
医疗机构产生的医疗废物数量不断增加，这给所有国家都带来了紧迫的挑战。对这些废物进行妥善管理和处置对于减轻其对人类生命、野生动物和环境的不利影响至关重要。在波斯尼亚和黑塞哥维那解决这个问题需要建立一个专门负责医疗废物管理的区域中心。实际上，医疗废物管理有多种处理方法。因此，在该中心组建过程中确定采购不同处理方法的优先级很有必要。为了评估这些处理设备，专家决策采用了模糊粗糙方法。通过利用扩展的可持续性标准，专家们首先评估了这些标准的重要性，随后对医疗废物处理设备进行了评估。该研究采用模糊粗糙LMAW（加法权重对数方法）确定了标准的重要性，突出了“空气排放”和“年度使用成本”是最关键的因素。利用模糊粗糙CoCoSo（组合折衷解）方法，对六种采用焚烧或灭菌处理医疗废物的设备进行了排名。研究结果表明，基于此项研究，“回转窑”和“蒸汽消毒”成为医疗废物处理最有利的设备。这一结论通过比较分析和敏感性分析得到了验证。本研究通过提议建立一个专门负责医疗废物管理的区域中心来解决波斯尼亚和黑塞哥维那的医疗废物挑战，从而做出了贡献。
