Article Content

Abstract

Health and environmental crises related to plastic waste have necessitated the implementation of circular economy (CE), especially among hospitals. By using the CE model for waste management, it will be easier to transfer collected waste from landfills to recycling plants and reduce waste generation by increasing reuse and recycling as well as using plastic waste as a resource. However, due to the degree of confusion in the hospital, there is a lack of targeted joint research that uses the principles of waste management and the concept of CE. The purpose of this study is to first examine how CE may act as a catalyst for change in medical plastic waste management. To begin with, a comprehensive literature review was conducted to identify important variables affecting the application of CE in the valuation of plastic waste. Then, barriers and drivers of transition to CE were studied from a linear perspective and evaluation indicators of CE actions were identified. In total, 21 strategies are proposed and classified into five categories: government policy, management policy, technology, industry and supply chain (SC). A system dynamics (SD) model was developed through a causal loop diagram to describe CE implementation strategies in hospitals. The causal loop diagram facilitates an in-depth understanding of the interactions of important factors that influence the hospital’s CE and plastic reduction strategies. It defines the relationships between the sub-criteria and also between the main criteria for Analytical Network Processs (ANP) model. ANP was used for prioratizing the CE strategies.

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  • Corporate Environmental Management
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References

  • Ahmed Z, Mahmud S, Acet H (2022) Circular economy model for developing countries: evidence from Bangladesh. Heliyon 8(5). https://doi.org/10.1016/j.heliyon.2022.e09530

  • Akhai S, Khang A (2024) Efficient Hospital Waste Treatment and Management Through IoT and Bioelectronics. In Revolutionizing Automated Waste Treatment Systems: IoT and Bioelectronics (pp. 126–140). IGI Global. https://doi.org/10.4018/979-8-3693-6016-3.ch009

  • Alavi S (2022) Prioritisation of green agile workforce enablers from the perspective of sustainable agile supply chain using DANP. Int J Agile Syst Manage 15(4):383–416. https://doi.org/10.1504/IJASM.2022.128227

    Article Google Scholar

  • Alavi S, Aghakhani H (2023) Identifying the effect of green human resource management practices on lean-agile (LEAGILE) and prioritizing its practices. Int J Product Perform Manage 72(3):599–624. https://doi.org/10.1108/IJPPM-05-2020-0232

    Article Google Scholar

  • Alfina KN, Ratnayake RC, Wibisono D, Mulyono NB, Basri M (2024) Integrating risk management in implementing circular economy principles in the healthcare sector: a case study from Indonesia. J Respons Product Consumpt (ahead-of-print). https://doi.org/10.1108/JRPC-03-2024-0014

  • Alharbi NS, Alhaji JH, Qattan MY (2021) Toward sustainable environmental management of healthcare waste: a holistic perspective. Sustainability 13(9):5280. https://doi.org/10.3390/su13095280

    Article Google Scholar

  • Ali M, Wang W, Chaudhry N, Geng Y, Ashraf U (2017) Assessing knowledge, performance, and efficiency for hospital waste management—a comparison of government and private hospitals in Pakistan. Environ Monitor Assess 189:1–9. https://doi.org/10.1007/s10661-017-5903-9

    Article Google Scholar

  • Alighardashi M, Mousavi SA, Almasi A, Mohammadi P (2024) Hospital waste management system in Kermanshah: challenges, future and sustainable management with circular economy. Sci Rep 14(1):25671. https://doi.org/10.1038/s41598-024-76525-4

    Article Google Scholar

  • Apevienyeku HK, Ampofo J, Amankwaa Amoako J (2024) Recycling potential of medical plastic waste. Discover Environ 2(1):69. https://doi.org/10.1016/j.aiepr.2021.06.003

    Article Google Scholar

  • Awasthi SK, Sarsaiya S, Kumar V, Chaturvedi P, Sindhu R, Binod P, Zhang Z, Pandey A, Awasthi MK (2022) Processing of municipal solid waste resources for a circular economy in China: An overview. Fuel 317:123478. https://doi.org/10.1016/j.fuel.2022.123478

    Article Google Scholar

  • Bamakan SMH, Malekinejad P, Ziaeian M (2022) Towards blockchain-based hospital waste management systems; applications and future trends. J Clean Product 349:131440. https://doi.org/10.1016/j.jclepro.2022.131440

    Article Google Scholar

  • Barros MV, Salvador R, Pieroni MDPP, Piekarski CM (2024) How to measure circularity? State-of-the-art and insights on positive impacts on businesses. Environ Dev 50:100989. https://doi.org/10.1016/j.envdev.2024.100989

    Article Google Scholar

  • Behl A, Singh R, Pereira V, Laker B (2023) Analysis of Industry 4.0 and circular economy enablers: A step towards resilient sustainable operations management. Technol Forecast Soc Change 189:122363. https://doi.org/10.1016/j.techfore.2023.122363

    Article Google Scholar

  • Bressanelli G, Pigosso DC, Saccani N, Perona M (2021) Enablers, levers and benefits of Circular Economy in the Electrical and Electronic Equipment supply chain: A literature review. J Clean Prod 298:126819. https://doi.org/10.1016/j.jclepro.2021.126819

    Article Google Scholar

  • Bvuchete M, Grobbelaar S, Eeden JV (2022) Digitalisation and sustainable supply chain strategy: an instrument for improving efficiencies in the public healthcare sector. Int J Learn Change 14(5–6):559–587. https://doi.org/10.1504/IJLC.2022.126422

    Article Google Scholar

  • Cainelli G, D’Amato A, Mazzanti M (2020) Resource efficient eco-innovations for a circular economy: Evidence from EU firms. Res Policy 49(1):103827. https://doi.org/10.1016/j.respol.2019.103827

    Article Google Scholar

  • Cesaro A, Belgiorno V (2017) Sustainability of medical waste management in different sized health care facilities. Waste Biomass Valor 8:1819–1827. https://doi.org/10.1007/s12649-016-9730-y

    Article Google Scholar

  • Chauhan A, Jakhar SK, Chauhan C (2021) The interplay of circular economy with industry 40 enabled smart city drivers of healthcare waste disposal. J Clean Prod 279:123854. https://doi.org/10.1016/j.jclepro.2020.123854

    Article Google Scholar

  • Cho Y, Withana PA, Rhee JH, Lim ST, Lim JY, Park SW, Ok YS (2024) Achieving the sustainable waste management of medical plastic packaging using a life cycle assessment approach. Heliyon, 10(19). https://www.cell.com/heliyon/fulltext/S2405-8440(24)14216-8

  • Corona B, Shen L, Reike D, Carreón JR, Worrell E (2019) Towards sustainable development through the circular economy—A review and critical assessment on current circularity metrics. Res Conserv Recycling 151:104498. https://doi.org/10.1016/j.resconrec.2019.104498

    Article Google Scholar

  • Cramer J (2022) Effective governance of circular economies: An international comparison. J Clean Prod 343:130874. https://doi.org/10.1016/j.jclepro.2022.130874

    Article Google Scholar

  • Cui Y, Meng X, Qiao J (2024) Multi-condition operational optimization with adaptive knowledge transfer for municipal solid waste incineration process. Expert Syst Appl 238:121783. https://doi.org/10.1016/j.eswa.2023.121783

    Article Google Scholar

  • Cunningham AJ, Krakauer K, Schofield C, Kenron D, Krishnaswami S (2023) Reducing disposable surgical items: decreasing environmental impact and costs at a children’s hospital, a pilot study. J Surg Res 288:309–314. https://doi.org/10.1016/j.jss.2023.02.035

    Article Google Scholar

  • D’Alessandro C, Szopik-Depczyńska K, Tarczyńska-Łuniewska M, Silvestri C, Ioppolo G (2024) Exploring Circular economy practices in the healthcare sector: A systematic review and bibliometric analysis. Sustainability 16(1):401. https://doi.org/10.3390/su16010401

    Article Google Scholar

  • Dehshiri SJH, Amiri M (2024) Considering the circular economy for designing closed-loop supply chain under hybrid uncertainty: A robust scenario-based possibilistic-stochastic programming. Expert Syst Appl 238:121745. https://doi.org/10.1016/j.eswa.2023.121745

    Article Google Scholar

  • Diaz R, Gambetta M, Rojas J, Raymundo C (2022) Lean green production management model under a circular economy approach for reducing variable costs at a small plastics business. Human Interaction, Emerging Technologies and Future Systems V: Proceedings of the 5th International Virtual Conference on Human Interaction and Emerging Technologies, IHIET 2021, August 27–29, 2021 and the 6th IHIET: Future Systems (IHIET-FS 2021), October 28–30, 2021, France,

  • Dixit A, Dutta P (2024) Critical success factors for the adoption of circular economy in sustainable healthcare waste management. Clean Technol Environ Policy 26:1–21. https://doi.org/10.1007/s10098-023-02712-y

    Article Google Scholar

  • Elgarahy AM, Priya A, Mostafa HY, Zaki E, Elsaeed S, Muruganandam M, Elwakeel KZ (2023) Toward a circular economy: Investigating the effectiveness of different plastic waste management strategies: A comprehensive review. J Environ Chem Eng 11:110993. https://doi.org/10.1016/j.jece.2023.110993

    Article Google Scholar

  • Esposito P, Ricci P, Sancino A (2021) Leading for social change: Waste management in the place of social (ir) responsibility. Corp Soc Responsibility Environ Manage 28(2):667–674. https://doi.org/10.1002/csr.2078

    Article Google Scholar

  • Ezeudu OB, Ezeudu TS (2019) Implementation of circular economy principles in industrial solid waste management: Case studies from a developing economy (Nigeria). Recycling 4(4):42. https://doi.org/10.3390/recycling4040042

    Article Google Scholar

  • Ferronato N, Rada EC, Portillo MAG, Cioca LI, Ragazzi M, Torretta V (2019) Introduction of the circular economy within developing regions: A comparative analysis of advantages and opportunities for waste valorization. J Environ Manage 230:366–378. https://doi.org/10.1016/j.jenvman.2018.09.095

    Article Google Scholar

  • Fletcher C, Clair RS, Sharmina M (2021) A framework for assessing the circularity and technological maturity of plastic waste management strategies in hospitals. J Clean Prod 306:127169. https://doi.org/10.1016/j.jclepro.2021.127169

    Article Google Scholar

  • Gaberščik C, Mitchell S, Fayne A (2020) Saving lives and saving the planet: the readiness of Ireland’s healthcare manufacturing sector for the circular economy. Sustainable Design and Manufacturing 2020: Proceedings of the 7th International Conference on Sustainable Design and Manufacturing (KES-SDM 2020),

  • Galvão GDA, De Nadae J, Clemente DH, Chinen G, De Carvalho MM (2018) Circular economy: Overview of barriers. Procedia Cirp 73:79–85. https://doi.org/10.1016/j.procir.2018.04.011

    Article Google Scholar

  • Gedam VV, Raut RD, de Sousa Jabbour ABL, Tanksale AN, Narkhede BE (2021) Circular economy practices in a developing economy: Barriers to be defeated. J Clean Prod 311:127670. https://doi.org/10.1016/j.jclepro.2019.118941

    Article Google Scholar

  • Golbaz S, Nabizadeh R, Sajadi HS (2019) Comparative study of predicting hospital solid waste generation using multiple linear regression and artificial intelligence. J Environ Health Sci Eng 17:41–51. https://doi.org/10.1007/s40201-018-00324-z

    Article Google Scholar

  • Guerra BC, Leite F (2021) Circular economy in the construction industry: An overview of United States stakeholders’ awareness, major challenges, and enablers. Res Conser Recycling 170:105617. https://doi.org/10.1016/j.resconrec.2021.105617

    Article Google Scholar

  • Gupta PK, Shree V, Hiremath L, Rajendran S (2019) The use of modern technology in smart waste management and recycling: artificial intelligence and machine learning. Recent advances in computational intelligence, 173–188. https://doi.org/10.1007/978-3-030-12500-4_11

  • Hajam YA, Kumar R, Kumar A (2023) Environmental waste management strategies and vermi transformation for sustainable development. Environ Challenges 13:100747. https://doi.org/10.1016/j.envc.2023.100747

    Article Google Scholar

  • Hamada HM, Al-Attar A, Abed F, Beddu S, Humada AM, Majdi A, Yousif ST, Thomas BS (2024) Enhancing sustainability in concrete construction: A comprehensive review of plastic waste as an aggregate material. Sustain Mater Technol 40:e00877. https://doi.org/10.1016/j.susmat.2024.e00877

    Article Google Scholar

  • Hettiarachchi BD, Seuring S, Brandenburg M (2022) Industry 4.0-driven operations and supply chains for the circular economy: a bibliometric analysis. Oper Manage Res 15(3):858–878. https://doi.org/10.1007/s12063-022-00275-7

    Article Google Scholar

  • Hossain R, Ghose A, Sahajwalla V (2025) Circular economy of the materials in the healthcare industry: Opportunities and challenges. Res Conserv Recycling 215:108041. https://doi.org/10.1016/j.resconrec.2024.108041

    Article Google Scholar

  • Husain Z, Maqbool A, Haleem A, Pathak RD, Samson D (2021) Analyzing the business models for circular economy implementation: a fuzzy TOPSIS approach. Oper Manage Res 14(3):256–271. https://doi.org/10.1007/s12063-021-00197-w

    Article Google Scholar

  • Ibn-Mohammed T, Mustapha K, Godsell J, Adamu Z, Babatunde K, Akintade D, Acquaye A, Fujii H, Ndiaye M, Yamoah F (2021) A critical analysis of the impacts of COVID-19 on the global economy and ecosystems and opportunities for circular economy strategies. Res Conserv Recycling 164:105169. https://doi.org/10.1016/j.resconrec.2020.105169

    Article Google Scholar

  • Ilyas S, Srivastava RR, Kim H (2020) Disinfection technology and strategies for COVID-19 hospital and bio-medical waste management. Sci Total Environ 749:141652. https://doi.org/10.1016/j.scitotenv.2020.141652

    Article Google Scholar

  • Jungbluth L, Goodwin D, Tull F, Bragge P (2024) Barriers and facilitators to recycling waste in hospitals: A mixed methods systematic review. Res Conserv Recycling Adv 21:200209. https://doi.org/10.1016/j.rcradv.2024.200209

    Article Google Scholar

  • Kala K, Bolia NB (2020) Waste management communication policy for effective citizen awareness. J Policy Model 42(3):661–678. https://doi.org/10.1016/j.jpolmod.2020.01.012

    Article Google Scholar

  • Kannan D, Khademolqorani S, Janatyan N, Alavi S (2024) Smart waste management 4.0: The transition from a systematic review to an integrated framework. Waste Manage 174:1–14. https://doi.org/10.1016/j.wasman.2023.08.041

    Article Google Scholar

  • Khan K, Su CW, Khurshid A (2022) Circular economy: The silver bullet for emissions? J Clean Prod 379:134819. https://doi.org/10.1016/j.jclepro.2022.134819

    Article Google Scholar

  • Kirchherr J, Yang N-HN, Schulze-Spüntrup F, Heerink MJ, Hartley K (2023) Conceptualizing the circular economy (revisited): an analysis of 221 definitions. Res Conserv Recycling 194:107001. https://doi.org/10.1016/j.resconrec.2023.107001

    Article Google Scholar

  • Klemeš JJ, Van Fan Y, Tan RR, Jiang P (2020) Minimising the present and future plastic waste, energy and environmental footprints related to COVID-19. Renew Sustain Energy Rev 127:109883. https://doi.org/10.1016/j.rser.2020.109883

    Article Google Scholar

  • Kumar C, Chaudhary R (2021) Environmental sustainability practices in hospitals of Bihar. Current Res Environ Sustain 3:100106. https://doi.org/10.1016/j.crsust.2021.100106

    Article Google Scholar

  • Kumar R, Somrongthong R, Shaikh BT (2015) Effectiveness of intensive healthcare waste management training model among health professionals at teaching hospitals of Pakistan: a quasi-experimental study. BMC Health Serv Res 15:1–7

    Article Google Scholar

  • Kumari, P. (2017). Limitations of Legal Enforcement in Bio–Medical Waste Management in India. Int J Eng Res Modern Ed (IJERME), ISSN (Online), 2455–4200. https://ssrn.com/abstract=2977776

  • Kuntari N, Ulfa M, Jamal A (2023) Hospital waste management during COVID. Int J Sci Healthcare Res 8(1):27–44. https://doi.org/10.52403/ijshr.20230104

    Article Google Scholar

  • Mahanth T, Suryasekaran C, Ponnambalam S, Sankaranarayanan B, Karuppiah K, Nielsen IE (2023) Modelling the Barriers to Circular Economy Practices in the Indian State of Tamil Nadu in Managing E-Wastes to Achieve Green Environment. Sustainability 15(5):4224. https://doi.org/10.3390/su15054224

    Article Google Scholar

  • Martin H, Chebrolu D, Chadee A, Brooks T (2024) Too good to waste: Examining circular economy opportunities, barriers, and indicators for sustainable construction and demolition waste management. Sustain Product Consumpt 48:460. https://doi.org/10.1016/j.spc.2024.05.026

    Article Google Scholar

  • Matschewsky J, Lingegård S, Martin MA (2024) Circular economy indicators for the design and procurement of plastic products in the healthcare sector–a review. Procedia CIRP 122:1095–1100. https://doi.org/10.1016/j.procir.2024.05.001

    Article Google Scholar

  • Mawkhlieng U, Majumdar A (2021) Waste management of medical personal protective equipment and facemasks: Challenges during and post COVID-19 pandemic. In COVID-19: Sustainable Waste Management and Air Emission (pp. 37–60). Springer. https://doi.org/10.1007/978-981-16-3856-5_2

  • Maxie Martis MR, Kumarasamy M, AP MR (2024) Nursing Students’ Perception of the Clinical Learning Environment at a Government Nursing College in Central India

  • Mishra A, Dutta P, Jayasankar S, Jain P, Mathiyazhagan K (2023) A review of reverse logistics and closed-loop supply chains in the perspective of circular economy. Benchmarking Int J 30(3):975–1020. https://doi.org/10.1108/BIJ-11-2021-0669

    Article Google Scholar

  • Mishra S, Tyagi M, Sachdeva A, Singh RP (2023) Exploration of Circular Economy Enablers Using Fuzzy DEMATEL Approach. In Advances in Modelling and Optimization of Manufacturing and Industrial Systems: Select Proceedings of CIMS 2021 (pp. 685–701). Springer. https://doi.org/10.1007/978-981-19-6107-6_49

  • Mohana AA, Islam MM, Rahman M, Pramanik SK, Haque N, Gao L, Pramanik BK (2023) Generation and consequence of nano/microplastics from medical waste and household plastic during the COVID-19 pandemic. Chemosphere 311:137014. https://doi.org/10.1016/j.chemosphere.2022.137014

    Article Google Scholar

  • Moraga G, Huysveld S, Mathieux F, Blengini GA, Alaerts L, Van Acker K, De Meester S, Dewulf J (2019) Circular economy indicators: What do they measure? Res Conserv Recycling 146:452–461. https://doi.org/10.1016/j.resconrec.2019.03.045

    Article Google Scholar

  • Möslinger M, Ulpiani G, Vetters N (2023) Circular economy and waste management to empower a climate-neutral urban future. J Clean Prod 421:138454. https://doi.org/10.1016/j.jclepro.2023.138454

    Article Google Scholar

  • Mosquera M, Andrés-Prado MJ, Rodríguez-Caravaca G, Latasa P, Mosquera ME (2014) Evaluation of an education and training intervention to reduce health care waste in a tertiary hospital in Spain. Am J Infect Control 42(8):894–897. https://doi.org/10.1016/j.ajic.2014.04.013

    Article Google Scholar

  • Na’im SNSM, Din MFM, Krishnan S, Taib SM, Sairan FM (2022) Waste Minimisation Governance through Standardised Recycling Rate in Higher Education Institutions in Malaysia. In Sustainability Management Strategies and Impact in Developing Countries (Vol. 26, pp. 87–102). Emerald Publishing Limited. https://doi.org/10.1108/S2040-726220220000026008

  • Najicha FU, Karjoko L, Rachmi I, Chandrakirana R, Tenrilawa DF (2022) The conceptualization of environmental administration law in environmental pollution control. J Human Rights Culture Legal Syst 2(2):87–99. https://doi.org/10.53955/jhcls.v2i2.44

    Article Google Scholar

  • Nandi S, Sarkis J, Hervani A, Helms M (2021) Do blockchain and circular economy practices improve post COVID-19 supply chains? A resource-based and resource dependence perspective. Industrial Manage Data Syst 121(2):333–363. https://doi.org/10.1108/IMDS-09-2020-0560

    Article Google Scholar

  • Neves SA, Marques AC (2022) Drivers and barriers in the transition from a linear economy to a circular economy. J Clean Prod 341:130865. https://doi.org/10.1016/j.jclepro.2022.130865

    Article Google Scholar

  • Nikolaou IE, Jones N, Stefanakis A (2021) Circular economy and sustainability: the past, the present and the future directions. Circ Econ Sustain 1:1–20. https://doi.org/10.1007/s43615-021-00030-3

    Article Google Scholar

  • Nsowah J, Agyenim-Boateng G, Amoah SK, Anane A (2024) Green procurement practices and barriers in hospitals in the bono region of Ghana. SN Business Econ 4(9):98. https://doi.org/10.1007/s43546-024-00686-7

    Article Google Scholar

  • Olawade DB, Wada OZ, Ore OT, David-Olawade AC, Esan DT, Egbewole BI, Ling J (2023) Trends of Solid Waste Generation during COVID-19 Pandemic: A Review. Waste Manage Bulletin 1:93. https://doi.org/10.1016/j.wmb.2023.10.002

    Article Google Scholar

  • Oli AN, Ekejindu CC, Adje DU, Ezeobi I, Ejiofor OS, Ibeh CC, Ubajaka CF (2016) Healthcare waste management in selected government and private hospitals in Southeast Nigeria. Asian Pacific J Trop Biomed 6(1):84–89. https://doi.org/10.1016/j.apjtb.2015.09.019

    Article Google Scholar

  • Oluleye BI, Chan DW, Olawumi TO (2022) Barriers to circular economy adoption and concomitant implementation strategies in building construction and demolition waste management: A PRISMA and interpretive structural modeling approach. Habitat Int 126:102615. https://doi.org/10.1016/j.habitatint.2022.102615

    Article Google Scholar

  • Parashar N, Hait S (2021) Plastics in the time of COVID-19 pandemic: protector or polluter? Sci Total Environ 759:144274. https://doi.org/10.1016/j.scitotenv.2020.144274

    Article Google Scholar

  • Patel MN, Pujara AA, Kant R, Malviya RK (2021) Assessment of circular economy enablers: Hybrid ISM and fuzzy MICMAC approach. J Clean Prod 317:128387. https://doi.org/10.1016/j.jclepro.2021.128387

    Article Google Scholar

  • Payne J, McKeown P, Jones MD (2019) A circular economy approach to plastic waste. Polymer Degradation Stability 165:170–181. https://doi.org/10.1016/j.polymdegradstab.2019.05.014

    Article Google Scholar

  • Piyathanavong V, Huynh V-N, Karnjana J, Olapiriyakul S (2024) Role of project management on Sustainable Supply Chain development through Industry 40 technologies and Circular Economy during the COVID-19 pandemic: A multiple case study of Thai metals industry. Opera Manage Res 17(1):13–37. https://doi.org/10.1007/s12063-022-00283-7

    Article Google Scholar

  • Psyrri G, Hauschild MZ, Astrup TF, Lima AT (2024) Recycling for a sustainable future: Advancing resource efficiency through life cycle assessment resource indicators. Res Conserv Recycling 209:107759. https://doi.org/10.1016/j.resconrec.2024.107759

    Article Google Scholar

  • Rahangdale U, Shinde A, Ashraf GY, Singh V (2022). IoT Hospital Solid Waste Generation Managet. https://doi.org/10.1109/ICIDCA56705.2023.10099836

    Article Google Scholar

  • Ramos T, Christensen TB, Oturai N, Syberg K (2023) Reducing plastic in the operating theatre: Towards a more circular economy for medical products and packaging. J Clean Product 383:135379. https://doi.org/10.1016/j.jclepro.2022.135379

    Article Google Scholar

  • Ren L, Zhou S, Ou X (2020) Life-cycle energy consumption and greenhouse-gas emissions of hydrogen supply chains for fuel-cell vehicles in China. Energy 209:118482. https://doi.org/10.1016/j.energy.2020.118482

    Article Google Scholar

  • Robaina M, Villar J, Pereira ET (2020) The determinants for a circular economy in Europe. Environ Sci Pollut Res 27(11):12566–12578. https://doi.org/10.1007/s11356-020-07847-9

    Article Google Scholar

  • Rogerson T, Dedina L, Goggin M, Chan WO (2023) Salvageable waste associated with intravitreal injections: A local medical waste management approach. Clin Exper Ophthalmol 51(1):31–35. https://doi.org/10.1111/ceo.14187

    Article Google Scholar

  • Saaty TL, Vargas LG, Saaty TL, Vargas LG (2013) The analytic network process. Springer. https://doi.org/10.1007/978-1-4614-7279-7_1

  • Sain ZH (2024) Interplay of sociology and education: an investigation into higher learning In Pakistan. J Transform Knowledge, 2(03). https://ojs.yptransteknologi.sch.id/index.php/jtk

  • Sánchez-Ortiz J, Rodríguez-Cornejo V, Del Rio-Sanchez R, García-Valderrama T (2020) Indicators to measure efficiency in circular economies. Sustainability 12(11):4483. https://doi.org/10.3390/su12114483

    Article Google Scholar

  • Sapkota B, Gupta GK, Mainali D, Health Care Waste Management Committee CSH (2015) Development and implementation of healthcare waste management policy at Civil Service Hospital Nepal. J Pharm Pract Res 45(1):57–63. https://doi.org/10.1002/jppr.1054

    Article Google Scholar

  • Sawyerr E, Harrison C (2023) Resilience in healthcare supply chains: a review of the UK’s response to the COVID19 pandemic. Int J Phys Distribution Logistics Manage 53(3):297–329. https://doi.org/10.1108/IJPDLM-09-2021-0403

    Article Google Scholar

  • Seikh MR, Mandal U (2023) Interval-valued Fermatean fuzzy Dombi aggregation operators and SWARA based PROMETHEE II method to bio-medical waste management. Expert Syst Applications 226:120082. https://doi.org/10.1016/j.eswa.2023.120082

    Article Google Scholar

  • Sembiring TB, Pratiwi SD (2024) Legal Aspects of Hospital Waste Management based on Law Number 17 of 2023 Concerning Health. Formosa J Sci Technol 3(7):1589–1598. https://doi.org/10.55927/fjst.v3i7.10458

    Article Google Scholar

  • Shahraki M, Esmaeili H (2024) Identifying and Ranking the Risks of Using Artificial Intelligence Systems in Hospital Waste Management Using a Multi-Criteria Decision-Making Approach A Case Study of Hospitals Affiliated with Zahedan University of Medical Sciences. J Hospital, 22(4):407–421. http://jhosp.tums.ac.ir/article-1-6658-en.html

  • Sharma HB, Vanapalli KR, Cheela VS, Ranjan VP, Jaglan AK, Dubey B, Goel S, Bhattacharya J (2020) Challenges, opportunities, and innovations for effective solid waste management during and post COVID-19 pandemic. Res Conserv Recycling 162:105052. https://doi.org/10.1016/j.resconrec.2020.105052

    Article Google Scholar

  • Shooshtarian S, Hosseini MR, Kocaturk T, Arnel T, Garofano TN (2023) Circular economy in the Australian AEC industry: investigation of barriers and enablers. Building Res Inform 51(1):56–68. https://doi.org/10.1080/09613218.2022.2099788

    Article Google Scholar

  • Silva ALP, Prata JC, Walker TR, Campos D, Duarte AC, Soares AM, Barcelò D, Rocha-Santos T (2020) Rethinking and optimising plastic waste management under COVID-19 pandemic: policy solutions based on redesign and reduction of single-use plastics and personal protective equipment. Sci Total Environ 742:140565. https://doi.org/10.1016/j.scitotenv.2020.140565

    Article Google Scholar

  • Silva ALP, Prata JC, Walker TR, Duarte AC, Ouyang W, Barcelò D, Rocha-Santos T (2021) Increased plastic pollution due to COVID-19 pandemic: Challenges and recommendations. Chem Eng J 405:126683. https://doi.org/10.1016/j.cej.2020.126683

    Article Google Scholar

  • Singh M, Karimi N, Ng KTW, Mensah D, Stilling D, Adusei K (2022) Hospital waste generation during the first wave of COVID-19 pandemic: a case study in Delhi. Environ Sci Pollut Res 29(33):50780–50789. https://doi.org/10.1007/s11356-022-19487-2

    Article Google Scholar

  • Singh J, Pandey KK, Kumar A, Naz F, Luthra S (2023) Drivers, barriers and practices of net zero economy: An exploratory knowledge based supply chain multi-stakeholder perspective framework. Oper Manage Res 16(3):1059–1090. https://doi.org/10.1007/s12063-022-00255-x

    Article Google Scholar

  • Somani M, Srivastava AN, Gummadivalli SK, Sharma A (2020) Indirect implications of COVID-19 towards sustainable environment: an investigation in Indian context. Biores Technol Rep 11:100491. https://doi.org/10.1016/j.biteb.2020.100491

    Article Google Scholar

  • Sondh S, Upadhyay DS, Patel S, Patel RN (2024) Strategic approach towards sustainability by promoting circular economy-based municipal solid waste management system-A review. Sustain Chem Pharmacy 37:101337. https://doi.org/10.1016/j.scp.2023.101337

    Article Google Scholar

  • Srivastava V, Balakrishnan M (2023) Biorefinery approach for the management of fruit and vegetable waste generated in hotels: study case in India. Biomass Convers Biorefine 13(16):14821–14835. https://doi.org/10.1007/s13399-022-03291-6

    Article Google Scholar

  • Syberg K, Nielsen MB, Clausen LPW, van Calster G, van Wezel A, Rochman C, Koelmans AA, Cronin R, Pahl S, Hansen SF (2021) Regulation of plastic from a circular economy perspective. Curr Opin Green Sustain Chem 29:100462. https://doi.org/10.1016/j.cogsc.2021.100462

    Article Google Scholar

  • Taghipour A, Akkalatham W, Eaknarajindawat N, Stefanakis AI (2022) The impact of government policies and steel recycling companies’ performance on sustainable management in a circular economy. Resources Policy 77:102663. https://doi.org/10.1016/j.resourpol.2022.102663

    Article Google Scholar

  • Tang J, Liu X, Wang W (2023) COVID-19 medical waste transportation risk evaluation integrating type-2 fuzzy total interpretive structural modeling and Bayesian network. Expert Syst Appl 213:118885. https://doi.org/10.1016/j.eswa.2022.118885

    Article Google Scholar

  • Thakur V, Mangla SK, Tiwari B (2021) Managing healthcare waste for sustainable environmental development: A hybrid decision approach. Business Strategy Environ 30(1):357–373. https://doi.org/10.1002/bse.2625

    Article Google Scholar

  • Tiwari S, Mohammed KS, Mentel G, Majewski S, Shahzadi I (2024) Role of circular economy, energy transition, environmental policy stringency, and supply chain pressure on CO2 emissions in emerging economies. Geosci Front 15(3):101682. https://doi.org/10.1016/j.gsf.2023.101682

    Article Google Scholar

  • Torkayesh AE, Vandchali HR, Tirkolaee EB (2021) Multi-objective optimization for healthcare waste management network design with sustainability perspective. Sustainability 13(15):8279. https://doi.org/10.3390/su13158279

    Article Google Scholar

  • Tura N, Ahola T (2019) Towards a circular economy by leveraging hazardous resources: A case study of Fortum HorsePower. J Clean Product 230:518–526. https://doi.org/10.1016/j.jclepro.2019.05.121

    Article Google Scholar

  • Valls-Val K, Ibáñez-Forés V, Bovea MD (2024) Measuring and monitoring the transition to the circular economy of universities: CExUNV. J Environ Manage 356:120492. https://doi.org/10.1016/j.jenvman.2024.120492

    Article Google Scholar

  • van Bruggen AR, Zonneveld M, Zijp MC, Posthuma L (2022) Solution-focused sustainability assessments for the transition to the circular economy: The case of plastics in the automotive industry. J Clean Product 358:131606. https://doi.org/10.1016/j.jclepro.2022.131606

    Article Google Scholar

  • van Straten B, Dankelman J, Van der Eijk A, Horeman T (2021) A Circular Healthcare Economy; a feasibility study to reduce surgical stainless steel waste. Sustain Product Consumpt 27:169–175. https://doi.org/10.1016/j.spc.2020.10.030

    Article Google Scholar

  • Vanapalli KR, Sharma HB, Ranjan VP, Samal B, Bhattacharya J, Dubey BK, Goel S (2021) Challenges and strategies for effective plastic waste management during and post COVID-19 pandemic. Sci Total Environ 750:141514. https://doi.org/10.1016/j.scitotenv.2020.141514

    Article Google Scholar

  • Vogt J, Nunes KR (2014) Recycling behaviour in healthcare: waste handling at work. Ergonomics 57(4):525–535. https://doi.org/10.1080/00140139.2014.887786

    Article Google Scholar

  • Vulsteke K, Huysveld S, Thomassen G, Beylot A, Rechberger H, Dewulf J (2024) What is the meaning of value in a circular economy? A conceptual framework. Res Conserv Recycling 207:107687. https://doi.org/10.1016/j.resconrec.2024.107687

    Article Google Scholar

  • Walden J, Steinbrecher A, Marinkovic M (2021) Digital product passports as enabler of the circular economy. Chemie Ingenieur Technik 93(11):1717–1727. https://doi.org/10.1002/cite.202100121

    Article Google Scholar

  • Wang X, Li C, Lam CH, Subramanian K, Qin Z-H, Mou J-H, Jin M, Chopra SS, Singh V, Ok YS (2022) Emerging waste valorisation techniques to moderate the hazardous impacts, and their path towards sustainability. J Hazardous Mater 423:127023. https://doi.org/10.1016/j.jhazmat.2021.127023

    Article Google Scholar

  • Wang C, Sun Y, Lim MK, Ghadimi P, Azadnia AH (2023) An analysis of barriers for successful implementation of municipal solid waste management in Beijing: an integrated DEMATEL-MMDE-ISM approach. Industrial Manage Data Syst 123(3):931–966. https://doi.org/10.1108/IMDS-08-2022-0464

    Article Google Scholar

  • Wang N, Cui W, Zhang M, Jiang Q (2023) Routing optimization for medical waste collection considering infectious risk and multiple disposal centers. Expert Syst Appl 234:121035. https://doi.org/10.1016/j.eswa.2023.121035

    Article Google Scholar

  • Yamaka W, Chimprang N, Klinlumpu C (2022) The dynamic linkages among environment, sustainable growth, and energy from waste in the circular economy of EU countries. Energy Reports 8:192–198. https://doi.org/10.1016/j.egyr.2022.02.122

    Article Google Scholar

  • Zamparas M, Kapsalis V, Kyriakopoulos G, Aravossis K, Kanteraki A, Vantarakis A, Kalavrouziotis I (2019) Medical waste management and environmental assessment in the Rio University Hospital Western Greece. Sustain Chem Pharmacy 13:100163. https://doi.org/10.1016/j.scp.2019.100163

    Article Google Scholar

  • Zeinalnezhad M, Chofreh AG, Goni FA, Klemeš JJ (2020) Critical success factors of the reliability-centred maintenance implementation in the oil and gas industry. Symmetry 12(10):1585. https://doi.org/10.3390/sym12101585

    Article Google Scholar

  • Zeinalnezhad M, Chofreh AG, Goni FA, Hashemi LS, Klemeš JJ (2021) A hybrid risk analysis model for wind farms using Coloured Petri Nets and interpretive structural modelling. Energy 229:120696. https://doi.org/10.1016/j.energy.2021.120696

    Article Google Scholar

  • Zhu Y, Jia G, Han G, Zhou Z, Guizani M (2019) An NB-IoT-based smart trash can system for improved health in smart cities. 2019 15th International Wireless Communications & Mobile Computing Conference (IWCMC)

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Correspondence to Somaieh Alavi or Golam Kabir.

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Zeinalnezhad, M., Alavi, S., Mirmohammadsadeghi, S. et al. Circular economy modelling for healthcare waste management by integrating system dynamics and analytical network process. Oper Manag Res (2025). https://doi.org/10.1007/s12063-025-00553-0

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  • DOI https://doi.org/10.1007/s12063-025-00553-0

Keywords

  • Plastic waste management
  • Hospital
  • Circular economy
  • Sustainable supply chain
  • Causal loop diagram
  • Analytical network process (ANP)
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