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1.
Environ Dev Sustain ; : 1-28, 2023 Apr 24.
Article in English | MEDLINE | ID: mdl-37363024

ABSTRACT

Healthcare waste management has been an extensively attractive topic recently since it is one of the key concerns regarding both environment and public health, predominantly in developing nations. The optimization of the treatment procedure for healthcare waste is indeed a complex "multi-criteria decision-making (MCDM)" problem that involves contradictory and interweaved critical criteria. To successfully handle this issue, this study extends the original method, named the "double normalization-based multi-aggregation (DNMA)" approach, with "interval-valued intuitionistic fuzzy sets (IVIFSs)" for decision-making problems taking criteria in terms of benefit or cost types. This method involves two target-based normalizations and three subordinate utility models. To estimate the criteria weights, we propose a new parametric divergence measure and discuss the feasibility of the developed divergence measure based on existing divergence measures for IVIFSs. Further, the developed framework is implemented to elucidate the "healthcare waste treatment (HCWT)" problem. The comparative and sensitivity analyses of the outcomes indicate that the proposed approach efficiently tackles the problem of HCWT selection. The outcomes show that steam sterilization (0.462) is the optimal one for HCWT. The prioritization options, obtained by presented approach, are dependable and suitable, which are steam sterilization ≻ microwave ≻ incineration ≻ landfilling.

2.
Article in English | MEDLINE | ID: mdl-31810208

ABSTRACT

Medicine is the main means to reduce cancer mortality. However, some medicines face various risks during transportation and storage due to the particularity of medicines, which must be kept at a low temperature to ensure their quality. In this regard, it is of great significance to evaluate and select drug cold chain logistics suppliers from different perspectives to ensure the quality of medicines and reduce the risks of transportation and storage. To solve such a multiple criteria decision-making (MCDM) problem, this paper proposes an integrated model based on the combination of the SWARA (stepwise weight assessment ratio analysis) and CoCoSo (combined compromise solution) methods under the probabilistic linguistic environment. An adjustment coefficient is introduced to the SWARA method to derive criteria weights, and an improved CoCoSo method is proposed to determine the ranking of alternatives. The two methods are extended to the probabilistic linguistic environment to enhance the applicability of the two methods. A case study on the selection of drug cold chain logistics suppliers is presented to demonstrate the applicability of the proposed integrated MCDM model. The advantages of the proposed methods are highlighted through comparative analyses.


Subject(s)
Antineoplastic Agents/standards , Antineoplastic Agents/therapeutic use , Decision Support Techniques , Delivery of Health Care/organization & administration , Neoplasms/drug therapy , Pharmaceutical Preparations/standards , Refrigeration/standards , Decision Making , Humans , Logistic Models
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