Volume 13, Issue 1 (3-2017)
HSR 2017, 13(1): 38-45 |
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Rezapour A, Arabloo J, Alipour V, Akbari A. Prioritization of Different Options for Management of Hospital Wastes in Tehran, Iran, Using Multi-Criteria Decision Analysis. HSR 2017; 13 (1) :38-45
URL: http://hsr.mui.ac.ir/article-1-920-en.html
URL: http://hsr.mui.ac.ir/article-1-920-en.html
1- Assistant Professor, Health Management and Economics Research Center AND Department of Health Economics, Iran University of Medical Sciences, Tehran, Iran
2- PhD Candidate, Department of Health Policy, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- Assistant Professor, Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
4- Health Management and Economics Research Center AND Department of Health Economics, Iran University of Medical Sciences, Tehran, Iran
2- PhD Candidate, Department of Health Policy, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- Assistant Professor, Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
4- Health Management and Economics Research Center AND Department of Health Economics, Iran University of Medical Sciences, Tehran, Iran
Abstract: (1006 Views)
Background: Due to increasing environmental problems caused by the waste produced by health care centers in recent years, the determination of the optimal method of hospital waste management with the consideration of the numerous conflicting criteria is of grave importance. This study aimed to evaluate different options for hospital waste management in Tehran, Iran, and prioritize them using multi-criteria decision analysis.Methods: This descriptive survey was conducted in 2015. The study participants consisted of 46 specialists in this regard. The subjects were selected using purposive sampling method. A questionnaire was used to collect data. The face validity of the questionnaire was approved by experts and its reliability was 0.00256 and was approved based on the incompatibility rate of less than 1.0. Statistical analysis was conducted using Excel and Lingo software.Findings: In this study, 12 different criteria of prioritization of waste disposal methods were obtained. The 3 criteria of treatment effectiveness, air residuals, environmental impacts, and public acceptance obstacles had the most weight and the 3 criteria of cost, odor, and release with health effects had the least weight. Finally, based on the above criteria, different methods of hospital waste disposal were, respectively, prioritized as steam sterilization (autoclave), incineration, landfill disposal, chemical disinfection, irradiation, and microwave.Conclusion: The majority of the participants preferred methods that have minimum effects on the environment like autoclave, steam sterilization, and burial after neutralization. However, the financial aspects of hospital waste disposal should also be considered.
Type of Study: Research |
Subject:
education health and promotion
Received: 2020/07/16 | Accepted: 2021/01/10 | Published: 2021/01/10
Received: 2020/07/16 | Accepted: 2021/01/10 | Published: 2021/01/10
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