A novel Fermatean fuzzy BWM-VIKOR based multi-criteria decision-making approach for selecting health care waste treatment technology

Abstract

Medical waste management (MWM) is a challenging issue for medical facility managers owing to its potential to prevent environmental and health risks. Many treatment technologies (TTs) have been used for MWM, and selecting appropriate TTs is a complex multi-criteria decision-making (MCDM) problem. In this paper, we propose a novel integrated MCDM method based on the best-worst method (BWM) and the VlseKriterijuska Optimizacija I Komoromisno Resenje (VIKOR) method under the Fermatean fuzzy environment to evaluate, rank, and select treatment technologies for medical waste management. First, novel distance measure and entropy measure for Fermatean fuzzy sets are developed, and their properties are examined. Second, different treatment technologies are evaluated by experts using Fermatean fuzzy sets. Third, the experts’ weights are determined using a novel method based on the entropy measure, and the criteria weights are calculated by a novel hybrid criteria weight calculation method. Finally, the ranking of different treatment technologies is determined by the proposed method. To validate the proposed method, a real case study in Jinan, China is presented, where the proposed method is applied to determine the optimal health care waste (HCW) treatment technologies from five TTs with eight criteria. The results are compared to other MCDM methods, which shows the effectiveness and reliability of the proposed method. Moreover, sensitivity analysis is also carried out to show the robustness of the proposed method. From the results, it can be found that the proposed method could provide reliable and robust results for obtaining the optimal health care waste treatment technology.