{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:53:58Z","timestamp":1782478438049,"version":"3.54.5"},"reference-count":46,"publisher":"Emerald","issue":"4","license":[{"start":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T00:00:00Z","timestamp":1562112000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JEIM"],"published-print":{"date-parts":[[2019,7,3]]},"abstract":"\nPurpose<\/jats:title>\nSelecting the most appropriate healthcare waste treatment technology (HCWTT) is an uncertain and complex decision-making problem because there exist more than one alternative and many conflicting qualitative and quantitative criteria. However, the use of fuzzy and comparative values, instead of specific crisp values, provides more accurate results, so that the alternatives may be evaluated in accordance with hesitant human nature. The purpose of this paper is to select the best HCWTT using a hesitant fuzzy linguistic term set (HFLTS).<\/jats:p>\n<\/jats:sec>\n\nDesign\/methodology\/approach<\/jats:title>\nFive main criteria were identified for HCWTT selection, such as economic, social, environmental, technical and ergonomic criteria. In total, 19 sub-criteria were examined, and the hierarchy of the criteria was formed. The criteria weights were determined using the multi-criteria hesitant fuzzy linguistic term set (MC-HFLTS). The selection processes of incineration (A<\/jats:italic>1<\/jats:sub>), steam sterilization (A<\/jats:italic>2<\/jats:sub>), microwave (A<\/jats:italic>3<\/jats:sub>) and landfill (A<\/jats:italic>4<\/jats:sub>) alternatives were carried out using the multi-attributive ideal-real comparative analysis (MAIRCA) and multi-attributive border approximation area comparison (MABAC) methods. In the comparative analyses, Vise Kriterijumska Optimizacija I Kompromisno Resenje (VIKOR) and technique for order preference by similarity to an ideal solution (TOPSIS) methods were used.<\/jats:p>\n<\/jats:sec>\n\nFindings<\/jats:title>\nThe comparison of the results of the MABAC and MAIRCA methods with the results of VIKOR and TOPSIS methods indicated that A<\/jats:italic>2<\/jats:sub> (steam sterilization) alternative was the best one and produced the same ranking of the technology alternatives (A<\/jats:italic>2<\/jats:sub> > A<\/jats:italic>3<\/jats:sub> > A<\/jats:italic>1<\/jats:sub> > A<\/jats:italic>4<\/jats:sub>). As a result, the study concluded that these methods can be successfully used for HCWTT selection problems.<\/jats:p>\n<\/jats:sec>\n\nOriginality\/value<\/jats:title>\nTo the best of the authors\u2019 knowledge, MC-HFLTS has not been used to select HCWTT in the existing literature. For the first time, MC-HFLTS&MAIRCA and MC-HFLTS&MABAC approaches were used in order to choose the best treatment method for healthcare waste under the effect of multiple conflicting hierarchical criteria. It has been provided that MABAC and MAIRCA select alternative choices by taking into consideration the hierarchical criteria. Unlike other studies, this study also considered ergonomic criteria that are important for people working during the process of using the treatment technology.<\/jats:p>\n<\/jats:sec>","DOI":"10.1108\/jeim-10-2018-0235","type":"journal-article","created":{"date-parts":[[2019,6,10]],"date-time":"2019-06-10T11:02:45Z","timestamp":1560164565000},"page":"688-711","source":"Crossref","is-referenced-by-count":52,"title":["New integrated approaches based on MC-HFLTS for healthcare waste treatment technology selection"],"prefix":"10.1108","volume":"32","author":[{"given":"Tuba","family":"Adar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif K\u0131l\u0131\u00e7","family":"Delice","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"140","reference":[{"key":"key2020092220420744300_ref001","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1016\/j.procs.2016.09.418","article-title":"A life insurance policy selection via hesitant fuzzy linguistic decision making model","volume":"102","year":"2016","journal-title":"Procedia Computer Science"},{"key":"key2020092220420744300_ref002","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.procs.2016.09.422","article-title":"A model proposal for locating wind turbines","volume":"102","year":"2016","journal-title":"Procedia Computer Science"},{"issue":"3","key":"key2020092220420744300_ref003","doi-asserted-by":"crossref","first-page":"705","DOI":"10.5937\/vojtehg64-9261","article-title":"Use of the fuzzy AHP \u2013 MABAC hybrid model in ranking potential locations for preparing laying-up positions","volume":"64","year":"2016","journal-title":"Vojnotehni\u010dki glasnik"},{"key":"key2020092220420744300_ref004","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.jclepro.2018.02.186","article-title":"Evaluating the performance of suppliers based on using the R\u2019AMATEL-MAIRCA method for green supply chain implementation in electronics industry","volume":"184","year":"2018","journal-title":"Journal of Cleaner Production"},{"issue":"8","key":"key2020092220420744300_ref005","first-page":"33","article-title":"A hybrid MCDM approach for strategic project portfolio selection of agro by-products","volume":"9","year":"2017","journal-title":"Sustainability"},{"issue":"2","key":"key2020092220420744300_ref006","first-page":"54","article-title":"Fuzzy group decision making for health-care waste management","volume":"3","year":"2010","journal-title":"Journal of Management & Engineering Integration"},{"issue":"1","key":"key2020092220420744300_ref007","first-page":"4","article-title":"Fuzzy group decision making for the assessment of health-care waste disposal alternatives in \u0130stanbul","volume":"2","year":"2010","journal-title":"International Journal of Economics and Management Engineering"},{"issue":"9","key":"key2020092220420744300_ref008","doi-asserted-by":"crossref","first-page":"11453","DOI":"10.1016\/j.eswa.2011.03.019","article-title":"A fuzzy multi-criteria group decision making framework for evaluating health-care waste disposal alternatives","volume":"38","year":"2011","journal-title":"Expert Systems with Applications"},{"key":"key2020092220420744300_ref009","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.resconrec.2011.09.012","article-title":"Assessment of health-care waste treatment alternatives using fuzzy multi-criteria decision making approaches","volume":"57","year":"2011","journal-title":"Resources, Conservation and Recycling"},{"issue":"4","key":"key2020092220420744300_ref010","doi-asserted-by":"crossref","first-page":"372","DOI":"10.3390\/su8040372","article-title":"The combination of expert judgment and GIS-MAIRCA analysis for the selection of sites for ammunition depots","volume":"8","year":"2016","journal-title":"Sustainability"},{"key":"key2020092220420744300_ref011","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/j.renene.2016.11.057","article-title":"Application of the GIS-DANP-MABAC multi-criteria model for selecting the location of wind farms: a case study of Vojvodina, Serbia","volume":"103","year":"2017","journal-title":"Renewable Energy"},{"key":"key2020092220420744300_ref012","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.cie.2018.05.012","article-title":"Selecting an outsourcing provider based on the combined MABAC\u2013ELECTRE method using single-valued neutrosophic linguistic sets","volume":"120","year":"2018","journal-title":"Computers & Industrial Engineering"},{"key":"key2020092220420744300_ref013","article-title":"Evaluating health-care waste disposal alternatives for Istanbul using fuzzy multi-criteria decision making approaches","year":"2009"},{"issue":"2","key":"key2020092220420744300_ref014","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.wasman.2009.08.015","article-title":"A multi-criteria assessment of scenarios on thermal processing of infectious hospital wastes: a case study for central Macedonia","volume":"30","year":"2010","journal-title":"Waste Management"},{"issue":"2","key":"key2020092220420744300_ref015","first-page":"263","article-title":"Havayolu Firmalar\u0131 Se\u00e7imi \u0130\u00e7in Bulan\u0131k \u00c7ok Kriterli Bir model","volume":"31","year":"2016","journal-title":"Gazi \u00dcniversitesi M\u00fchendislik-Mimarl\u0131k Fak\u00fcltesi Dergisi"},{"issue":"4","key":"key2020092220420744300_ref016","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1051\/ro\/2017010","article-title":"A stochastic approach for failure mode and effect analysis","volume":"51","year":"2017","journal-title":"RAIRO \u2013 Operations Research"},{"key":"key2020092220420744300_ref017","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/j.tust.2018.09.037","article-title":"Risk assessment of rockburst via an extended MABAC method under fuzzy environment","volume":"83","year":"2019","journal-title":"Tunnelling and Underground Space Technology"},{"issue":"12","key":"key2020092220420744300_ref018","doi-asserted-by":"crossref","first-page":"2744","DOI":"10.1016\/j.wasman.2013.08.006","article-title":"Assessment of health-care waste disposal methods using a VIKOR-based fuzzy multi-criteria decision making method","volume":"33","year":"2013","journal-title":"Waste Management."},{"key":"key2020092220420744300_ref019","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.ijpe.2017.03.008","article-title":"An integrated approach for failure mode and effect analysis under interval-valued intuitionistic fuzzy environment","volume":"207","year":"2019","journal-title":"International Journal of Production Economics"},{"key":"key2020092220420744300_ref020","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1016\/j.rser.2014.08.061","article-title":"Evaluating health-care waste treatment technologies using a hybrid multi-criteria decision making model","volume":"41","year":"2015","journal-title":"Renewable and Sustainable Energy Reviews"},{"issue":"11","key":"key2020092220420744300_ref021","doi-asserted-by":"crossref","first-page":"2355","DOI":"10.1016\/j.wasman.2014.07.016","article-title":"Application of interval 2-tuple linguistic MULTIMOORA method for health-care waste treatment technology evaluation and selection","volume":"34","year":"2014","journal-title":"Waste Management"},{"issue":"6","key":"key2020092220420744300_ref022","doi-asserted-by":"crossref","first-page":"562","DOI":"10.3390\/ijerph13060562","article-title":"Health-care waste treatment technology selection using the interval 2-tuple induced TOPSIS method","volume":"13","year":"2016","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"2","key":"key2020092220420744300_ref023","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1177\/0734242X12471578","article-title":"Evaluation of healthcare waste treatment\/disposal alternatives by using multi-criteria decision-making techniques","volume":"31","year":"2013","journal-title":"Waste Management & Research"},{"key":"key2020092220420744300_ref024","first-page":"89","article-title":"Selection of railway level crossings for investing in security equipment using hybrid DEMATEL-MARICA model","year":"2014"},{"issue":"6","key":"key2020092220420744300_ref025","doi-asserted-by":"crossref","first-page":"3016","DOI":"10.1016\/j.eswa.2014.11.057","article-title":"The selection of transport and handling resources in logistics centers using multi-attributive border approximation area comparison (MABAC)","volume":"42","year":"2015","journal-title":"Expert Systems with Applications"},{"key":"key2020092220420744300_ref026","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.eswa.2017.08.042","article-title":"Modification of the best\u2013worst and MABAC methods: a novel approach based on interval-valued fuzzy-rough numbers","volume":"91","year":"2018","journal-title":"Expert Systems with Applications"},{"key":"key2020092220420744300_ref027","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.asoc.2018.02.057","article-title":"Integration of interval rough AHP and interval rough MABAC methods for evaluating university web pages","volume":"67","year":"2018","journal-title":"Applied Soft Computing"},{"key":"key2020092220420744300_ref028","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.eswa.2017.06.037","article-title":"Novel approach to group multi-criteria decision making based on interval rough numbers: hybrid DEMATEL-ANP-MAIRCA model","volume":"88","year":"2017","journal-title":"Expert Systems with Applications"},{"key":"key2020092220420744300_ref029","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1007\/978-3-642-54924-3_70","article-title":"A fuzzy representation for the semantics of hesitant fuzzy linguistic term sets","volume":"277","year":"2014","journal-title":"Foundations of Intelligent Systems"},{"issue":"1","key":"key2020092220420744300_ref030","first-page":"109","article-title":"Hesitant fuzzy linguistic term sets for decision making","volume":"20","year":"2011","journal-title":"IEEE Transactions on Fuzzy Systems"},{"key":"key2020092220420744300_ref032","article-title":"An extended MABAC for multi-attribute decision making using trapezoidal interval type-2 fuzzy numbers","year":"2016"},{"issue":"1","key":"key2020092220420744300_ref031","doi-asserted-by":"crossref","first-page":"e12232","DOI":"10.1111\/exsy.12232","article-title":"Evaluation and selection of medical tourism sites: a rough analytic hierarchy process based multi\u2013attributive border approximation area comparison approach","volume":"35","year":"2018","journal-title":"Expert Systems"},{"key":"key2020092220420744300_ref033","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1016\/j.asoc.2017.06.031","article-title":"A knowledge-based outranking approach for multi-criteria decision-making with hesitant fuzzy linguistic term sets","volume":"67","year":"2018","journal-title":"Applied Soft Computing"},{"key":"key2020092220420744300_ref034","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.trd.2017.12.022","article-title":"A military airport location selection by AHP integrated PROMETHEE and VIKOR methods","volume":"59","year":"2018","journal-title":"Transportation Research Part D: Transport and Environment"},{"key":"key2020092220420744300_ref035","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1016\/j.wasman.2016.11.016","article-title":"An integrated decision making approach for assessing healthcare waste treatment technologies from a multiple stakeholder","volume":"59","year":"2017","journal-title":"Waste Management"},{"issue":"11","key":"key2020092220420744300_ref036","doi-asserted-by":"crossref","first-page":"279","DOI":"10.3390\/sym9110279","article-title":"Novel integrated multi-criteria model for supplier selection: case study construction company","volume":"9","year":"2017","journal-title":"Symmetry"},{"issue":"11","key":"key2020092220420744300_ref037","doi-asserted-by":"crossref","first-page":"264","DOI":"10.3390\/sym9110264","article-title":"The selection of wagons for the internal transport of a logistics company: a novel approach based on rough BWM and rough SAW methods","volume":"9","year":"2017","journal-title":"Symmetry"},{"key":"key2020092220420744300_ref038","doi-asserted-by":"crossref","first-page":"121","DOI":"10.3390\/info9050121","article-title":"A novel rough WASPAS approach for supplier selection in a company manufacturing PVC carpentry products","volume":"9","year":"2018","journal-title":"Information"},{"key":"key2020092220420744300_ref039","unstructured":"TAKY (2005), T\u00fcrkiye Cumhuriyeti \u00c7evre ve \u015eehircilik Bakanl\u0131\u011f\u0131, T\u0131bbi At\u0131k Kontrol Y\u00f6netmeli\u011fi, Tehlikeli At\u0131klar\u0131n Kontrol\u00fc Y\u00f6netmeli\u011fi, available at: www.resmigazete.gov.tr\/eskiler\/2017\/01\/20170125-2.htm (accessed January 25, 2017)."},{"key":"key2020092220420744300_ref040","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1016\/j.procs.2016.09.449","article-title":"A courthouse site selection method using hesitant fuzzy linguistic term set: a case study for Turkey","volume":"102","year":"2016","journal-title":"Procedia Computer Science"},{"key":"key2020092220420744300_ref041","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.jclepro.2018.10.131","article-title":"An integrated MCDM approach considering demands-matching for reverse logistics","volume":"208","year":"2019","journal-title":"Journal of Cleaner Production"},{"key":"key2020092220420744300_ref042","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.jclepro.2018.04.169","article-title":"A multi-criteria decision-making framework for risk ranking of energy performance contracting project under picture fuzzy environment","volume":"191","year":"2018","journal-title":"Journal of Cleaner Production"},{"key":"key2020092220420744300_ref043","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1016\/j.asoc.2015.10.010","article-title":"An interval-valued intuitionistic fuzzy MABAC approach for material selection with incomplete weight information","volume":"38","year":"2016","journal-title":"Applied Soft Computing"},{"issue":"5","key":"key2020092220420744300_ref044","doi-asserted-by":"crossref","first-page":"2835","DOI":"10.1016\/j.eswa.2014.11.010","article-title":"Multi-criteria evaluation of alternative-fuel vehicles via a hierarchical hesitant fuzzy linguistic model","volume":"42","year":"2015","journal-title":"Expert Systems with Applications"},{"key":"key2020092220420744300_ref045","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.cie.2017.10.029","article-title":"Extended TODIM for multi-criteria group decision making based on unbalanced hesitant fuzzy linguistic term sets","volume":"114","year":"2017","journal-title":"Computers & Industrial Engineering"},{"key":"key2020092220420744300_ref046","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.cie.2018.10.023","article-title":"Assessment of third-party logistics provider using multi-criteria decision-making approach based on interval rough numbers","volume":"127","year":"2019","journal-title":"Computers & Industrial Engineering"}],"container-title":["Journal of Enterprise Information Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/JEIM-10-2018-0235\/full\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/JEIM-10-2018-0235\/full\/html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T22:32:14Z","timestamp":1753396334000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.emerald.com\/jeim\/article\/32\/4\/688-711\/204580"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,3]]},"references-count":46,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,7,3]]}},"alternative-id":["10.1108\/JEIM-10-2018-0235"],"URL":"https:\/\/doi.org\/10.1108\/jeim-10-2018-0235","relation":{},"ISSN":["1741-0398"],"issn-type":[{"value":"1741-0398","type":"print"}],"subject":[],"published":{"date-parts":[[2019,7,3]]}}}