چكيده به لاتين
Nowadays, governments have specific attention to the management of consumption materials because of economical profitability, the importance of environmental issues and increasing people knowledge compare to the past. On the other hand, some supply chain has been modeled specially in health field. Hence, attention to generated medical waste in hospital are important. In this research, forward and reverse supply chain network design for consumer medical products has been considered, taking into account the risk of biological risks. The problem model has two objectives; first, maximize the profit generated by the revenues and costs of the supply chain. In other words, revenues are included selling medical supplies to hospitals and medical wastes to recycling centers, as well as receiving the right to sterilize services from clinics lacking a sterilization center, and costs are included activation cost of inventory, sterilization and collection centers, transportation costs, purchases Medical supplies, the sale of medical waste to the municipality for its destruction, and others. The second objective is to reduce the risk of biological risks. The highest levels of infectious medical supplies are consumed from the moment they are sterilized. Thus, the second objective function tries to minimize the distance between the clinic and the center of the sterility with respect to the number of times it moves. The model is designed for the case study of hospitals in Tehran's 4th district and using the Bounded De Novo Programing approach, it has solved and redesigned rare sources of the problem. Redesign of sterilization center capacity, addition to decline biological risk cause to increasing profitability too. Moreover, distribution center could earn more benefit with increasing medical waste efficiency in recycle process. Finally, policy and management packs are proposed to improve performance at the end of the thesis.
Keywords:
Supply chain network design, Supply chain management, Healthcare, Forward and reverse, Bounded De Novo Programming.
