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مجله پژوهش در بهداشت محیط

مجله پژوهش در بهداشت محیط

تحلیل عوامل موثر بر مدیریت پسماند در زنجیره تأمین سرد دارو (مورد مطالعه: زنجیره تأمین انسولین در ایران)

نوع مقاله : Research Paper

نویسندگان
متین حیدری رستمی 1
شهاب بیات زاده 2
حمیدرضا طلایی 3
1 دانشجوی کارشناسی ارشد مدیریت صنعتی، گروه مدیریت صنعتی، دانشکده مدیریت و حسابداری، دانشگاه علامه طباطبائی، تهران، ایران.
2 دانشجوی دکتری مدیریت صنعتی، دانشکده مدیریت صنعتی و فناوری، دانشکدگان مدیریت، دانشگاه تهران، تهران، ایران.
3 دانشیار گروه مدیریت صنعتی، دانشکده علوم اداری و اقتصاد، دانشگاه اراک، اراک، ایران.
10.22038/jreh.2026.28093
چکیده
زمینه و هدف: زنجیره تأمین سرد دارو به شدت به نوسانات دمایی و نقص‌های فنی حساس است و هرگونه اختلال در آن باعث فساد دارو و تولید پسماند دارویی خطرناک می‌شود. این پژوهش با هدف شناسایی و اولویت‌بندی عوامل مؤثر بر مدیریت پسماند در زنجیره تأمین سرد انسولین در ایران انجام شده است.

مواد و روش‌ها: پژوهش حاضر از نوع تحلیلی-کاربردی و پیمایشی است. ابتدا عوامل اولیه از مرور نظام‌مند ادبیات استخراج شد. سپس با روش دلفی فازی و نظر ۱۶ خبره پالایش شدند و ۱۲ عامل نهایی تأیید شد. در نهایت وزن‌دهی و رتبه‌بندی با روش بهترین-بدترین فازی نوع دوم و مشارکت ۳ خبره متخصص انجام گرفت.

یافته‌ها: مهم‌ترین عوامل به ترتیب پایش و کنترل محیطی، مسائل فنی و شکست تجهیزات، زیرساخت‌های حمل‌ونقل سرد، مدیریت انبارداری، فناوری‌های ردیابی و بلاکچین شناخته شدند. بعد فنی-فناورانه بیشترین وزن، بعد لجستیکی دوم و بعد مدیریتی کمترین وزن را داشت. فساد انسولین در ایران عمدتاً ناشی از ضعف کنترل دمایی و تجهیزات است.

نتیجه‌گیری: اولویت اصلی برای کاهش پسماند انسولین باید تقویت پایش بلادرنگ دما، نگهداری پیشگیرانه تجهیزات و ناوگان حمل‌ونقل سرد باشد. عوامل مدیریتی و آموزشی نقش مکمل دارند و بدون اصلاح زیرساخت‌های فنی و لجستیکی تأثیر کمی خواهند داشت.
کلیدواژه‌ها
کلیدواژه‌ها: انسولین
بهترین-بدترین فازی نوع دوم
دلفی فازی
زنجیره تأمین سرد
مدیریت پسماند دارویی

عنوان مقاله English

Analyzing the Factors Affecting Waste Management in Pharmaceutical Cold Supply Chain (Case of Study: Insulin Supply Chain in Iran)

نویسندگان English

Matin Heydari Rostami 1
Shahab Bayatzadeh 2
HamidReza Talaie 3
1 MSc Student of Industrial Management, Department of Industrial Management, Faculty of Management and Accounting, Allameh Tabataba’I University, Tehran, Iran.
2 PhD Student of Industrial Management, Faculty of Industrial Management & Technology, College of Management, University of Tehran, Tehran, Iran.
3 Associate Professor, Department of Industrial Management, Faculty of Administrative Sciences and Economics, Arak University, Arak, Iran.
چکیده English

Background and Objective: The pharmaceutical cold supply chain is susceptible to temperature fluctuations and technical failures, and disruptions can lead to drug spoilage and hazardous pharmaceutical waste. This study aimed to identify and prioritize the factors influencing waste management in the cold supply chain of insulin in Iran.

Materials and Methods: This analytical-applied, survey-based research first identified initial factors through a systematic literature review. These factors were then refined using the Fuzzy Delphi method with input from 16 experts, resulting in the confirmation of 12 final factors. Finally, weighting and ranking were performed using the Interval Type-2 Fuzzy Best-Worst Method with the participation of 3 highly experienced experts.

Results: The most important factors, in order of priority, were environmental monitoring and control; technical issues and equipment failure; cold transportation infrastructure; warehousing and storage management; and tracking technologies and blockchain. The technical-technological dimension received the highest weight, followed by the logistical dimension, while the managerial dimension had the lowest weight. Weaknesses in temperature control and equipment performance are mainly responsible for insulin spoilage in Iran.

Conclusion: The primary focus for reducing insulin waste should be on strengthening real-time temperature monitoring, preventive maintenance of cold equipment, and upgrading refrigerated transportation fleets. Managerial and educational factors play a supporting role and will have a limited impact without first addressing technical and logistical infrastructure deficiencies.

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

کلیدواژه‌ها English

Cold Supply Chain
Fuzzy Delphi
Interval Type-2 Fuzzy Best-Worst Method
Insulin
Pharmaceutical Waste Management
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