Investigation and Analysis of Rural Medical Waste Management

Nie, Li; Wu, Huan

doi:10.4236/jep.2016.71009

Cited by 8 publications

(3 citation statements)

References 14 publications

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“…township health centers and village clinics). Of the few papers that do exist, to our knowledge, even fewer adopt quantitative methods to investigate medical waste in rural primary institutions [ 3 , 17 ]. In addition, the geographic coverage of each of these papers is limited to just one province.…”

Section: Introductionmentioning

confidence: 99%

Medical waste management in three areas of rural China

Gao

Shi

et al. 2018

PLoS ONE

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ObjectiveThe purpose of this paper is to describe current practices of medical waste management, including its generation, investments, collection, storage, segregation, and disposal, and to explore the level of support from upper tiers of the government and health care system for medical waste management in rural China.MethodsThe authors draw on a dataset comprised of 209 randomly selected rural township health centers (THCs) in 21 counties in three provinces of China: Anhui, Shaanxi and Sichuan. Surveys were administered to health center administrators in sample THCs in June 2015.ResultsThe results show that the generation rate of medical waste was about 0.18 kg/bed, 0.15 kg/patient, or 0.13 kg/person per day on average. Such per capita levels are significant given China’s large rural population. Although investments of medical waste facilities and personnel in THCs have improved, results show that compliance with national regulations is low. For example, less than half of hazardous medical waste was packed in sealed containers or containers labeled with bio-hazard markings. None of the THCs segregated correctly according to the categories required by formal Chinese regulations. Many THCs reported improper disposal methods of medical waste. Our results also indicate low levels of staff training and low rates of centralized disposal in rural THCs.ConclusionsMedical waste is a serious environmental issue that is rising on the agenda of policymakers. While a large share of THCs has invested in medical waste facilities and personnel, it appears that actual compliance remains low. Using evidence of low rates of training and centralized disposal, we surmise that a lack of support from upper tiers of management is one contributing factor. Given these findings, we recommend that China’s policymakers should enhance support from upper tiers and improve monitoring as well as incentives in order to improve medical waste management.

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Section: Introductionmentioning

confidence: 99%

Medical waste management in three areas of rural China

Gao

Shi

et al. 2018

PLoS ONE

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“… 78 Nie and Wu used questionnaire survey, interview, and comparative analysis to evaluate the current situation of rural medical waste management in China, and pointed out that rural medical waste management is weak in classification, unified recycling, disposal, relevant personnel protection measures, regulations, and policy awareness. 79 Hong et al used LCC and LCA methods to quantify the environmental and economic impacts of three medical waste disposal options (ie, pyrolysis, steam sterilization, and chemical disinfection). 80 Narayanamoorthy et al evaluated the bio-medical waste disposal based on comprehensive weighting method and hesitant fuzzy MOOSRA, and the results showed that autoclaving is the best choice for bio-medical waste treatment.…”

Section: Related Research On the Management And Evaluation Of Medical...mentioning

confidence: 99%

Risk Management for Whole-Process Safe Disposal of Medical Waste: Progress and Challenges

Yang,

Du,

Sun

et al. 2024

RMHP

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“…Bentley [1] classified and interpreted the cost of medical waste disposal in various US agencies, and made recommendations to guide the reduction of medical waste disposal costs. In order to reduce the cost of medical waste management in hospitals, Almuneef [2] targeted An internal medical waste management plan was proposed; Zhang Ni [3] used questionnaires to investigate the types of medical waste and related expenditures generated by medical institutions in Dongcheng District, Beijing, in order to explore scientifically reduce the cost of medical waste disposal, reduce the burden on medical institutions, and reduce The patient's medical expenses are provided. At the same time, many scholars use game theory for research in the medical field.…”

Section: Introductionmentioning

confidence: 99%

Construction and Simulation Analysis of Cooperative Game Model of Hospital Group in Medical Waste Stream System

Quan¹,

Liu²

2019

Proceedings of the 2018 International Conference on Mathematics, Modeling, Simulation and Statistics Application (MMSSA 2018)

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The management of medical waste stream is an important issue of social concern. Based on the cooperative game theory, the cooperative game evolution model of the three-level hospital group and the basic hospital group is constructed. The Netlogo multi-agent simulation tool is used to analyze the behavioral evolution of the cooperative group. The promotion effect, the study found that the initial management level of waste and the government's incentive or punishment policies will impact on the choice of cooperation strategies of hospital groups. Finally, according to the research results of this paper, the countermeasures are given from the two levels of the game and the government.

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Investigation and Analysis of Rural Medical Waste Management

Cited by 8 publications

References 14 publications

Medical waste management in three areas of rural China

Medical waste management in three areas of rural China

Risk Management for Whole-Process Safe Disposal of Medical Waste: Progress and Challenges

Construction and Simulation Analysis of Cooperative Game Model of Hospital Group in Medical Waste Stream System

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