Cloud decision support framework for treatment technology selection of health-care waste

With the attention of people to environmental and health issues, health-care waste (HCW) management has become one of the focus of researchers. The selection of appropriate HCW treatment technology is vital to the survival and development of human beings. In the assessment process of HCW disposal alternative, the evaluation information given by decision makers (DMs) often has uncertainty and ambiguity. The expression, transformation and integration of this information need to be further studied. We develop an applicable decision support framework of HCW treatment technology to provide reference for relevant staff. Firstly, the evaluation information of DMs is represented by interval 2-tuple linguistic term sets (ITLTs). To effectively express qualitative information, the cloud model theory is used to process the linguistic information, a novel concept of interval 2-tuple linguistic integrated cloud (ITLIC) is proposed, and the relevant operations, distance measure and possibility degree of ITLICs are defined. Moreover, a weighted Heronian mean (HM) operator based ITLIC is presented to fuse cloud information. Secondly, the HCW treatment technology decision support model based on the BWM and PROMETHEE is established. Finally, the proposed model is demonstrated through an empirical example, and the effectiveness and feasibility of the model is verified by comparison with extant methods.

Decision support framework for integrating triple bottom line (TBL) sustainability in agriculture supply chain

Purpose This paper aims to address the conceptual and practical challenges in integrating triple bottom line (TBL) sustainability in the agriculture supply chain (ASC). It identifies the key enablers for each of the three dimensions of TBL sustainability, analyses their causal relationships as well as cross-dimensional interactions under each TBL dimension. Further, it develops a decision support framework (DSF) for the assessment of TBL sustainability practices and policies in ASC and validates it through a case study. Design/methodology/approach An interpretive structure modelling (ISM) methodology is deployed to establish the interrelationships among all TBL enablers and to identify the enablers with high driving power on sustainable ASC. Brainstorming by a group of experts was used to identify the relevant enables. Finally, a DSF was developed as a resultant of ISM. Findings The paper provides a set of enablers with high driving power that can significantly influence the sustainability practices and policies in ASC. The social enablers directly help to enhance the effect of economic enablers and collectively these enhance the effect of environmental enablers. If agriculture firms and supply chains design innovative policies and develop practices based on these enablers, they can achieve sustainable ASC. Consequently, the living standards of the people directly or indirectly associated with the agriculture firm or supply chain can be improved without compromising on economic performance. Research limitations/implications The paper consolidates the fragmented knowledge of sustainable supply chain management in the agriculture sector and suggests a DSF to policymakers, managers and practitioners for assessing TBL sustainability practices and policies. The DSF has wide applicability in other sectors of production and operations management as these sectors also face the challenge of achieving TBL sustainability across their supply chain. Practical implications The DSF, developed in the paper, is a useful tool for practitioners to frame and analyse sustainability initiatives and policies for ASC. A firm or supply chain may achieve TBL sustainability if it succeeds in uplifting the social status of its stakeholders. Social implications It is a first step towards addressing the practical challenge of integrating sustainability in the agriculture sector of emerging economies and provides a path to improve the livelihood of people in the agriculture sector. Stakeholder engagement with a focus on collaboration and awareness may lead to the desired social and environmental consequences. Potential adverse social effects also need to be considered. Originality/value This paper focusses on the so far rather neglected but essential aspect of integrating TBL sustainability in the agriculture sector of emerging economies. The hierarchal representation and classification of the TBL sustainability enablers of sustainability is a unique effort in the field of ASC. Development of DSF is one of the first attempts to create a mapping between various enablers of TBL sustainability. The novelty of the study lies in the sector-specific, holistic evaluation of TBL sustainability policy measures that may lead to improvements in practice.

‘Decolonising’ the clinical encounter via multi-criteria decision support (Preprint)

UNSTRUCTURED According to researchers drawing on the ideas of Jürgen Habermas, Canadian patients and Danish General Practitioners are experiencing ‘colonisation’ of their ‘lifeworlds’ by ‘the system’, Their suggested remedy is to ensure that the clinical encounter, freed of strategic rationality, re-prioritises Habermasian ‘communicative action’ aimed at mutual understanding. However, Blau shows that such communicative action is, and should be, inextricably interwoven into means-end rationality, when Habermas’ caricature of the latter is rejected. We argue that the decision support framework provided by Multi-Criteria Decision Analysis can help produce the ‘communicative means-end rationality’ essential in a public health service based on role-respecting sincerity and autonomy. No ‘positivistic reduction’ is involved in the technique.