A Sustainable Approach to Medical and Non-Medical Waste Management in The Expansion of a Central Brain Hospital

سال انتشار: 1404
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 16

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شناسه ملی سند علمی:

JR_EHEM-13-2026_026

تاریخ نمایه سازی: 20 مهر 1405

چکیده مقاله:

Introduction: The expansion of the Brain Center Hospital is expected to increase medical and non-medical waste by ۲۱۰.۳۸%. Given current limitations in single-use reliance, bin availability, and storage capacity, this study introduces a predictive statistical and spatial framework with IoT-supported monitoring to strengthen sustainable, regulation-compliant waste management. Methods: Waste generation and patient load data (۲۰۱۸–۲۰۲۴) were analyzed through linear regression, Pearson’s correlation, and Shapiro–Wilk testing, with spatial patterns and hotspots identified using the Shoelace Formula and Kernel Density Estimation. Results: Waste generation is projected to increase by ۲۱۰.۳۸% post-expansion, with inpatient medical waste contributing ۸۷.۵۹ kg/day. Patient volumes nearly doubled, showing a very strong correlation with waste generation (r > ۰.۹۸). Current infrastructure, including ۱,۰۲۶ waste bins and temporary storage capacity of only ۳۰–۱۵۰ L, is insufficient to meet future demands. Hotspot analysis identified critical waste-generation areas in the inpatient, ICU, and laboratory units. Conclusion: Hospital expansion without proportional waste management improvements risks regulatory non-compliance and environmental harm. This study proposes a scalable framework integrating predictive modeling, spatial planning, and IoT-enabled monitoring. The novelty lies in combining statistical forecasting, geospatial analysis, and sustainability-oriented solutions to guide policymakers and healthcare providers. While locally applied, the framework is globally relevant and requires validation in diverse hospital contexts to support resilient and sustainable healthcare systems.

نویسندگان

Poerna Sri Oetari

Department of Public Health, Universitas Dian Nuswantoro, Semarang, Indonesia

Ekannisa Jasmiene

Doctoral Program in Urban and Regional Planning, Diponegoro University, Semarang, Indonesia

Umi Kulsum

The Sanitation Department, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia

Slamet Isworo

Correspondence to: Department of Environmental Health, Universitas Dian Nuswantoro, Semarang, Indonesia

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