Identifying enablers for a circular healthcare supply chain: An integrated fuzzy DEMATEL-MMDE approach with hesitant information

Over the past decade, the healthcare industries have been facing the issue of resource scarcity due to socio-political wars, the COVID-19 pandemic, the luxury lifestyles of people, and the prevalence of single-use medical devices. The circular economy (CE) can be vital in accommodating the evolving...

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Main Authors: Deepak Agrawal, Sumit Gupta, Chandni Dusad, M.L. Meena, G.S. Dangayach, Sandeep Jagtap
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Cleaner Engineering and Technology
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666790825000059
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author Deepak Agrawal
Sumit Gupta
Chandni Dusad
M.L. Meena
G.S. Dangayach
Sandeep Jagtap
author_facet Deepak Agrawal
Sumit Gupta
Chandni Dusad
M.L. Meena
G.S. Dangayach
Sandeep Jagtap
author_sort Deepak Agrawal
collection DOAJ
description Over the past decade, the healthcare industries have been facing the issue of resource scarcity due to socio-political wars, the COVID-19 pandemic, the luxury lifestyles of people, and the prevalence of single-use medical devices. The circular economy (CE) can be vital in accommodating the evolving patient and provider demands. The CE defies the conventional take-make-dispose process and advocates for optimized resource use throughout its entire lifecycle. Finding the critical enabler for a circular supply chain in the Indian healthcare sector is urgently needed because the CE is still nascent in developing nations like India. This paper identifies the enablers of a circular healthcare supply chain (CHSC) through a comprehensive analysis of cause and effect, interrelationships, and priorities using integrated alpha-level sets based on the fuzzy DEMATEL-MMDE approach with hesitant information. Experts' opinions were gathered using a triangular fuzzy linguistic scale, incorporating hesitant information to minimize data vagueness. The results of this study offer valuable insights into various enablers, emphasizing their criticality and interdependence, thereby benefiting healthcare organizations aiming to implement circular supply chains. Additionally, the findings will assist policymakers in creating policies to accelerate the adoption of CE practices in the healthcare industry.
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issn 2666-7908
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publisher Elsevier
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spelling doaj-art-5ce45423b89442e39d8b839e67a24fd12025-01-12T05:26:09ZengElsevierCleaner Engineering and Technology2666-79082025-02-0124100882Identifying enablers for a circular healthcare supply chain: An integrated fuzzy DEMATEL-MMDE approach with hesitant informationDeepak Agrawal0Sumit Gupta1Chandni Dusad2M.L. Meena3G.S. Dangayach4Sandeep Jagtap5Department of Mechanical Engineering, Malaviya National Institute of Technology, Jaipur, IndiaDepartment of Mechanical Engineering, Amity School of Engineering and Technology, Amity University Uttar Pradesh, Noida, India; Corresponding author.Department of Management Studies, University of Engineering & Management, Jaipur, India; Department of Management Studies, Graphic Era (Deemed to Be University), Dehradun, IndiaDepartment of Mechanical Engineering, Malaviya National Institute of Technology, Jaipur, IndiaDepartment of Mechanical Engineering, Malaviya National Institute of Technology, Jaipur, IndiaSustainable Manufacturing Systems Centre, School of Aerospace, Transport & Manufacturing, Cranfield University, Cranfield, MK43 0AL, UK; Division of Engineering Logistics, Department of Mechanical Engineering Sciences, Faculty of Engineering, Ole Römers Väg 1, M-Building, Lund University, Lund, 22363, Sweden; Corresponding author. Sustainable Manufacturing Systems Centre, School of Aerospace, Transport & Manufacturing, Cranfield University, Cranfield, MK43 0AL, UK.Over the past decade, the healthcare industries have been facing the issue of resource scarcity due to socio-political wars, the COVID-19 pandemic, the luxury lifestyles of people, and the prevalence of single-use medical devices. The circular economy (CE) can be vital in accommodating the evolving patient and provider demands. The CE defies the conventional take-make-dispose process and advocates for optimized resource use throughout its entire lifecycle. Finding the critical enabler for a circular supply chain in the Indian healthcare sector is urgently needed because the CE is still nascent in developing nations like India. This paper identifies the enablers of a circular healthcare supply chain (CHSC) through a comprehensive analysis of cause and effect, interrelationships, and priorities using integrated alpha-level sets based on the fuzzy DEMATEL-MMDE approach with hesitant information. Experts' opinions were gathered using a triangular fuzzy linguistic scale, incorporating hesitant information to minimize data vagueness. The results of this study offer valuable insights into various enablers, emphasizing their criticality and interdependence, thereby benefiting healthcare organizations aiming to implement circular supply chains. Additionally, the findings will assist policymakers in creating policies to accelerate the adoption of CE practices in the healthcare industry.http://www.sciencedirect.com/science/article/pii/S2666790825000059Healthcare supply chainEnablersCircular economyDEMATELMMDEFuzzy linguistic term sets
spellingShingle Deepak Agrawal
Sumit Gupta
Chandni Dusad
M.L. Meena
G.S. Dangayach
Sandeep Jagtap
Identifying enablers for a circular healthcare supply chain: An integrated fuzzy DEMATEL-MMDE approach with hesitant information
Cleaner Engineering and Technology
Healthcare supply chain
Enablers
Circular economy
DEMATEL
MMDE
Fuzzy linguistic term sets
title Identifying enablers for a circular healthcare supply chain: An integrated fuzzy DEMATEL-MMDE approach with hesitant information
title_full Identifying enablers for a circular healthcare supply chain: An integrated fuzzy DEMATEL-MMDE approach with hesitant information
title_fullStr Identifying enablers for a circular healthcare supply chain: An integrated fuzzy DEMATEL-MMDE approach with hesitant information
title_full_unstemmed Identifying enablers for a circular healthcare supply chain: An integrated fuzzy DEMATEL-MMDE approach with hesitant information
title_short Identifying enablers for a circular healthcare supply chain: An integrated fuzzy DEMATEL-MMDE approach with hesitant information
title_sort identifying enablers for a circular healthcare supply chain an integrated fuzzy dematel mmde approach with hesitant information
topic Healthcare supply chain
Enablers
Circular economy
DEMATEL
MMDE
Fuzzy linguistic term sets
url http://www.sciencedirect.com/science/article/pii/S2666790825000059
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