GIS-technologies and algorithm for developing regional systems for handling medical waste on the example of three regions

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Abstract

Introduction. GIS is a modern computer technology designed for collecting, storing, analyzing and visualizing spatial data – mapping. GIS is also actively used in healthcare to solve many regional problems, including optimization and management of healthcare resources. Over last decade, many researchers have used mathematical software models for healthcare waste management. A review of the literature shows facility location, risk to the public, and economic feasibility to be among the issues that have been extensively covered in the literature. Designing a reverse logistics network using mathematical software tools is an efficient and effective way to manage healthcare waste.

The objective of the study. To determine the optimal approach to creating a functional model of a system for managing medical waste of class B and C using GIS-technologies for each of the three regions, based on the characteristics of each.

Materials and methods. Medical institutions in three regions (St. Petersburg, Leningrad Region and Krasnoyarsk Territory) as sources of medical waste generation were considered taking into account their capacity and specialization. The composition and volumes of waste by class were determined using a calculation method based on indicative waste generation standards. The identification of local technologies for the neutralization of medical waste existing in medical institutions was carried out. The obtained data was processed statistically and displayed on electronic maps for subsequent use in GIS technologies, as well as for the development and justification of a waste management system for medical institutions, taking into account the prospects for the development of healthcare.

Results. Based on the analysis of data on medical waste of classes B and C in individual medical institutions, as well as an analysis of the power of existing technologies for neutralizing this waste using GIS technologies, proposals were developed to improve the medical waste management system in three regions. The proposals are aimed at improving the sanitary and epidemiological situation in the regions over a five-year period and take into account the features of the existing transport infrastructure and the requirements of sanitary legislation.

Limitations. The model of a medical waste management system using GIS technologies was used only for managing waste of classes B and C.

Conclusion. To ensure the safe and environmentally sustainable functioning of the waste management system of classes B and C in the regions, it is necessary to apply an integrated approach based on GIS technologies. This approach should take into account the regional characteristics of the management of the medical waste disposal system and its economic feasibility and take into account the regional characteristics of transport logistics and the prospects for the development of healthcare.

Compliance with ethical standards. The study does not require the submission of the opinion of the biomedical ethics committee

Contribution:
Mironenko O.V. – scientific leadership, concept and design of the study, editing, approval of the final version of the article, responsibility for the integrity of all parts of the article;
Buzinov R.V. – calculation of gross emissions, maximum single surface concentrations, editing;
Noskov S.N. – calculation of gross emissions, maximum single surface concentrations, editing;
Magomedov Kh.K. – research concept and design of the study, proofreading and editing;
Fedorova E.A. – collection and statistical processing of material, writing the text;
Tovanova A.A. – statistical processing.

Conflict of interest. The authors declare no conflict of interest.

Acknowledgement. The study had no sponsorship.

Received: May 3, 2024 / Accepted: June 19, 2024 / Published: September 10, 2024

About the authors

Olga V. Mironenko

Saint Petersburg State University; North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: miroolga@yandex.ru
ORCID iD: 0000-0002-1484-8251

MD, PhD, DSci., professor, Head of the Department of Communal Hygiene, North-Western State Medical University named after I.I. Mechnikov, St.-Petersburg, 191015, Russian Federation, Professor of the Department of Healthcare Organization and Medical Law, Saint Petersburg State University, St.-Petersburg, 199034, Russian Federation

e-mail: miroolga@yandex.ru

Russian Federation

Roman V. Buzinov

North-West Public Health Research Center

Email: r.buzinov@s-znc.ru
ORCID iD: 0000-0002-8624-6452

MD, PhD, Director of the North-West Public Health Research Center, St.-Petersburg, 191036, Russian Federation

e-mail: r.buzinov@s-znc.ru

Russian Federation

Sergey N. Noskov

North-Western State Medical University named after I.I. Mechnikov; North-West Public Health Research Center

Email: noemail@neicon.ru
ORCID iD: 0000-0001-7971-4062

MD, PhD, Technical Director of the Inspection Body, senior researcher of the North-West Public Health Research Center, St.-Petersburg, 191036, Russian Federation; Associate Professor of the Department of Communal Hygiene of the North-Western State Medical University named after I.I. Mechnikov, St.-Petersburg, 191015, Russian Federation

e-mail: sergeinoskov@mail.ru

Russian Federation

Khamzat K. Magomedov

North-Western State Medical University named after I.I. Mechnikov

Email: noemail@neicon.ru
ORCID iD: 0000-0002-1521-551X

MD, PhD, Associate Professor, Communal Hygiene Department, North-Western State Medical University named after I.I. Mechnikov, St.-Petersburg, 191015, Russian Federation

Russian Federation

Ekaterina A. Fedorova

North-Western State Medical University named after I.I. Mechnikov

Email: katerina.fedo@gmail.com
ORCID iD: 0000-0002-9233-7203

Assistant, Communal Hygiene Department, North-Western State Medical University named after I.I. Mechnikov, St.-Petersburg, 191015, Russian Federation

e-mail: katerina.fedo@gmail.com

Russian Federation

Anna A. Tovanova

North-Western State Medical University named after I.I. Mechnikov

Email: noemail@neicon.ru
ORCID iD: 0000-0002-4137-8259

Assistant, Communal Hygiene Department, North-Western State Medical University named after I.I. Mechnikov, St.-Petersburg, 191015, Russian Federation

Russian Federation

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Copyright (c) 2024 Mironenko O.V., Buzinov R.V., Noskov S.N., Magomedov K.K., Fedorova E.A., Tovanova A.A.


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