Araştırma Makalesi
Yıl 2025,
Cilt: 16 Sayı: Erken Çevrimiçi Yayınlar
Öz
Kaynakça
- 1. Malik Y, Prakash N, Kapoor A. Green transport: A way forward for environmental sustainability. In Environment, Politics, and Society. 2018;25:163-80.
- 2. Pichler PP, Jaccard IS, Weisz U, et al. International comparison of health care carbon footprints. Environ Res Lett. 2019;14:064004. DOI:10.1088/1748-9326/ab11d5
- 3. Çavmak Ş, Çavmak D, Yaşa Özeltürkay E. Sağlık hizmetlerinde sürdürülebilirlik düzeyini belirleyen faktörlerin önceliklendirilmesi. Verimlilik Derg. 2024;58:263-82.
- 4. Bardwell PL. Factors of sustainability: Gauging environmental impact when deciding whether to build or renovate. Health Facil Manage. 2007;20:52-8.
- 5. Burger B, Newman P. Hospitals and sustainability. Curtin Univ Technol. 2012.
- 6. Eckelman MJ, Sherman J. Environmental impacts of the U.S. health care system and effects on public health. PLoS One. 2016;11:e0157014. DOI:10.1371/journal.pone.0157014
- 7. Mc Gain F, Naylor C. Environmental sustainability in hospitals: A systematic review and research agenda. J Health Serv Res Policy. 2014;19:1-8. DOI:10.1177/1355819614542287
- 8. Çakmak Barsbay M. Sağlık sektöründe düşük karbon ekonomisi: Tezat mı, mümkün mü? Verimlilik Derg. 2019;4:113-34.
- 9. Söğüt MZ. Hastaneler için çevresel sürdürülebilirliğin kriterleri: Enerji verimliliği ve yönetimi. In 15. Ulusal Tesisat Mühendisliği Kongresi. 2023;26-29.
- 10. Terekli G, Özkan O, Bayın G. Çevre dostu hastaneler: Hastaneden yeşil hastaneye. Ankara Sağlık Hizmetleri Derg. 2013;12:37-54. DOI:10.1501/Ashd_0000000090
- 11. Hoşgör H. Yeşil hastane konsepti ve Türkiye deneyimi. Sağlık Bilimleri ve Meslekleri Derg. 2014;1:75-84.
- 12. Özdemir Karaca P, Atılgan E, Zekioğlu A. Sağlık hizmetlerinde sürdürülebilirlik bağlamında inovatif bir uygulama: Yeşil hastaneler. Ejovoc. 2018;77-87.
- 13. Uslu YD, Gedikli E, Yılmaz E, Özbey Y, Çakmak I. Determining Risk Management of Family Health Centres. TJFM&PC 2024;18:181-7.
- 14. Leksono EB, Suparno S, Vanany I. Integration of a balanced scorecard, DEMATEL, and ANP for measuring the performance of a sustainable healthcare supply chain. Sustainability. 2019;11:3626.
- 15. Hossain MK, Thakur V. Benchmarking health-care supply chain by implementing Industry 4.0: A fuzzy AHP-DEMATEL approach. Benchmarking Int J. 2021;28:556-81.
- 16. Hussain M, Khan M, Ajmal M, et al. A multi-stakeholders view of the barriers of social sustainability in healthcare supply chains: Analytic hierarchy process approach. Sustain Account Manag Policy J. 2019;10:290-313.
- 17. Wątróbski J, Bączkiewicz A, Rudawska I. A strong sustainability paradigm based analytical hierarchy process (SSP-AHP) method to evaluate sustainable healthcare systems. Ecol Indic. 2023;154:110493.
- 18. Göncü KK, Çetin O. A decision model for supplier selection criteria in healthcare enterprises with DEMATEL ANP method. Sustainability. 2022;14:13912.
- 19. Kılıç C, Güdük Ö. Yeşil hastane kavramı ve Türkiye’deki son kullanıcıların beklentileri üzerine bir hastane örneği. Gümüşhane Univ Sağlık Bilimleri Derg. 2018;7:164-74.
- 20. Zhang H, Sekhari A, Ouzrout Y, Bouras A. Optimal inconsistency repairing of pairwise comparison matrices using integrated linear programming and eigenvector methods. Math Probl Eng. 2014;2014:1-16. DOI:10.1155/2014/989726
- 21. Tariq MI, Ahmed S, Memon NA, et al. Prioritization of information security controls through fuzzy AHP for cloud computing networks and wireless sensor networks. Sensors. 2020;20:1310. DOI:10.3390/s20051310
- 22. Azhir E, Daneshpour N, Ghanbari S. Fuzzy multi-criteria selection procedures in choosing data source. J Artif Intell Data Min. 2016;4:49-56. DOI:10.5829/idosi.jaidm.2016.04.02.03
- 23. Rane NL, Choudhary S. Fuzzy AHP and Fuzzy TOPSIS as an effective and powerful Multi-Criteria Decision-Making (MCDM) method for subjective judgements in selection process. Int Res J Mod Eng Technol Sci. 2023;5:3786-99.
- 24. Chang EC. Evidence for the cultural specificity of pessimism in Asians vs Caucasians: A test of a general negativity hypothesis. Pers Individ Differ. 1996;21:819-22.
- 25. McGain F, Muret J, Lawson C, Sherman JD. Environmental sustainability in anaesthesia and critical care. Br J Anaesth. 2020;125:680-92. DOI:10.1016/j.bja.2020.06.055
- 26. Mehra R, Sharma MK. Measures of sustainability in healthcare. Sustain Anal Model. 2021;1:100001.
- 27. Castro de Fátima M, Mateus R, Bragança L. Development of a healthcare building sustainability assessment method: Proposed structure and system of weights for the Portuguese context. J Clean Prod. 2017;148:555-70.
- 28. Musa S, Aliyu AB, Ikwuka AO, Udeh FC. Knowledge and practice of healthcare waste management among healthcare workers at Yusuf Dantsoho Memorial Hospital (YDMH), Kaduna, Nigeria. Eur J Clin Med. 2023;4:31-6. DOI:10.24018/clinicmed.2023.4.2.249
- 29. Zadeh RS, Xuan X, Shepley MM. Sustainable healthcare design. Facilities. 2016; 34:264-88. DOI:10.1108/f-09-2013-0067
- 30. Zuhri S. Green accounting in Indonesia: Pathways to sustainable economic development. J Econ Bus Lett. 2022;2:10-2. DOI:10.55942/jebl.v2i1.282
Assessment of Environmental Sustainability Practices in Healthcare Facilities by Employing Fuzzy-AHP
Öz
Background/Purpose: This study primarily aims to identify and rank the criteria employed in assessing practices that promote environmental sustainability in healthcare facilities, grounded in their relative significance and weighted contributions.
Methods: The criteria determined within the scope of evaluation of environmental sustainability practices were analyzed with Fuzzy-AHP (Analytical Hierarchy Process), which is one of the Multi-Criteria Decision-Making Techniques. In this context, the opinions of 5 participants who were experts in the fields of health management, environment and air conditioning, public health and real estate evaluation were received.
Results: The most important criterion used to evaluate applications to increase environmental sustainability in healthcare facilities is “Energy Efficiency” with a normalized weight score of 37.3%. It is followed by “Waste Reduction and Environmental Impact” (22.8%) and “Cost Effectiveness” (12.2%), respectively. In this direction, the first 3 criteria represent an important part with a weight score of 72.3%. “Technological Compliance” was determined as the least important criterion with a weight of 3.8%.
Conclusion: As a result, the complementary structure of these criteria increases the effectiveness of environmental sustainability strategies in healthcare facilities and makes significant contributions to sustainable healthcare service delivery. Therefore, healthcare facility managers’ prioritization of these criteria in their selection processes regarding environmental sustainability practices will strengthen the environmental performance of the facilities while also supporting their financial sustainability.
Anahtar Kelimeler
AHP Fuzzy logic Environmental sustainability Healthcare facilities
Etik Beyan
Istanbul Medipol University Non-Interventional Ethics Committee decided that this study was approved (Date: 16/10/2024, Decision No: 956, Number: E-10840098-202.3.02-6359). The study was conducted in accordance with the principles of the Declaration of Helsinki. Informed consent was obtained from all participants.
Kaynakça
- 1. Malik Y, Prakash N, Kapoor A. Green transport: A way forward for environmental sustainability. In Environment, Politics, and Society. 2018;25:163-80.
- 2. Pichler PP, Jaccard IS, Weisz U, et al. International comparison of health care carbon footprints. Environ Res Lett. 2019;14:064004. DOI:10.1088/1748-9326/ab11d5
- 3. Çavmak Ş, Çavmak D, Yaşa Özeltürkay E. Sağlık hizmetlerinde sürdürülebilirlik düzeyini belirleyen faktörlerin önceliklendirilmesi. Verimlilik Derg. 2024;58:263-82.
- 4. Bardwell PL. Factors of sustainability: Gauging environmental impact when deciding whether to build or renovate. Health Facil Manage. 2007;20:52-8.
- 5. Burger B, Newman P. Hospitals and sustainability. Curtin Univ Technol. 2012.
- 6. Eckelman MJ, Sherman J. Environmental impacts of the U.S. health care system and effects on public health. PLoS One. 2016;11:e0157014. DOI:10.1371/journal.pone.0157014
- 7. Mc Gain F, Naylor C. Environmental sustainability in hospitals: A systematic review and research agenda. J Health Serv Res Policy. 2014;19:1-8. DOI:10.1177/1355819614542287
- 8. Çakmak Barsbay M. Sağlık sektöründe düşük karbon ekonomisi: Tezat mı, mümkün mü? Verimlilik Derg. 2019;4:113-34.
- 9. Söğüt MZ. Hastaneler için çevresel sürdürülebilirliğin kriterleri: Enerji verimliliği ve yönetimi. In 15. Ulusal Tesisat Mühendisliği Kongresi. 2023;26-29.
- 10. Terekli G, Özkan O, Bayın G. Çevre dostu hastaneler: Hastaneden yeşil hastaneye. Ankara Sağlık Hizmetleri Derg. 2013;12:37-54. DOI:10.1501/Ashd_0000000090
- 11. Hoşgör H. Yeşil hastane konsepti ve Türkiye deneyimi. Sağlık Bilimleri ve Meslekleri Derg. 2014;1:75-84.
- 12. Özdemir Karaca P, Atılgan E, Zekioğlu A. Sağlık hizmetlerinde sürdürülebilirlik bağlamında inovatif bir uygulama: Yeşil hastaneler. Ejovoc. 2018;77-87.
- 13. Uslu YD, Gedikli E, Yılmaz E, Özbey Y, Çakmak I. Determining Risk Management of Family Health Centres. TJFM&PC 2024;18:181-7.
- 14. Leksono EB, Suparno S, Vanany I. Integration of a balanced scorecard, DEMATEL, and ANP for measuring the performance of a sustainable healthcare supply chain. Sustainability. 2019;11:3626.
- 15. Hossain MK, Thakur V. Benchmarking health-care supply chain by implementing Industry 4.0: A fuzzy AHP-DEMATEL approach. Benchmarking Int J. 2021;28:556-81.
- 16. Hussain M, Khan M, Ajmal M, et al. A multi-stakeholders view of the barriers of social sustainability in healthcare supply chains: Analytic hierarchy process approach. Sustain Account Manag Policy J. 2019;10:290-313.
- 17. Wątróbski J, Bączkiewicz A, Rudawska I. A strong sustainability paradigm based analytical hierarchy process (SSP-AHP) method to evaluate sustainable healthcare systems. Ecol Indic. 2023;154:110493.
- 18. Göncü KK, Çetin O. A decision model for supplier selection criteria in healthcare enterprises with DEMATEL ANP method. Sustainability. 2022;14:13912.
- 19. Kılıç C, Güdük Ö. Yeşil hastane kavramı ve Türkiye’deki son kullanıcıların beklentileri üzerine bir hastane örneği. Gümüşhane Univ Sağlık Bilimleri Derg. 2018;7:164-74.
- 20. Zhang H, Sekhari A, Ouzrout Y, Bouras A. Optimal inconsistency repairing of pairwise comparison matrices using integrated linear programming and eigenvector methods. Math Probl Eng. 2014;2014:1-16. DOI:10.1155/2014/989726
- 21. Tariq MI, Ahmed S, Memon NA, et al. Prioritization of information security controls through fuzzy AHP for cloud computing networks and wireless sensor networks. Sensors. 2020;20:1310. DOI:10.3390/s20051310
- 22. Azhir E, Daneshpour N, Ghanbari S. Fuzzy multi-criteria selection procedures in choosing data source. J Artif Intell Data Min. 2016;4:49-56. DOI:10.5829/idosi.jaidm.2016.04.02.03
- 23. Rane NL, Choudhary S. Fuzzy AHP and Fuzzy TOPSIS as an effective and powerful Multi-Criteria Decision-Making (MCDM) method for subjective judgements in selection process. Int Res J Mod Eng Technol Sci. 2023;5:3786-99.
- 24. Chang EC. Evidence for the cultural specificity of pessimism in Asians vs Caucasians: A test of a general negativity hypothesis. Pers Individ Differ. 1996;21:819-22.
- 25. McGain F, Muret J, Lawson C, Sherman JD. Environmental sustainability in anaesthesia and critical care. Br J Anaesth. 2020;125:680-92. DOI:10.1016/j.bja.2020.06.055
- 26. Mehra R, Sharma MK. Measures of sustainability in healthcare. Sustain Anal Model. 2021;1:100001.
- 27. Castro de Fátima M, Mateus R, Bragança L. Development of a healthcare building sustainability assessment method: Proposed structure and system of weights for the Portuguese context. J Clean Prod. 2017;148:555-70.
- 28. Musa S, Aliyu AB, Ikwuka AO, Udeh FC. Knowledge and practice of healthcare waste management among healthcare workers at Yusuf Dantsoho Memorial Hospital (YDMH), Kaduna, Nigeria. Eur J Clin Med. 2023;4:31-6. DOI:10.24018/clinicmed.2023.4.2.249
- 29. Zadeh RS, Xuan X, Shepley MM. Sustainable healthcare design. Facilities. 2016; 34:264-88. DOI:10.1108/f-09-2013-0067
- 30. Zuhri S. Green accounting in Indonesia: Pathways to sustainable economic development. J Econ Bus Lett. 2022;2:10-2. DOI:10.55942/jebl.v2i1.282
Toplam 30 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Erken Görünüm Tarihi | 18 Haziran 2025 |
| Yayımlanma Tarihi | |
| Gönderilme Tarihi | 7 Aralık 2024 |
| Kabul Tarihi | 2 Ocak 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 16 Sayı: Erken Çevrimiçi Yayınlar |