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In the present-day highly customer-conscious service environment, supply chain management has become a critical component of health-care industry, helping in fulfilling patient expectation, optimizing inventory and automating departmental activities. Supplier selection is one of the crucial elements of health-care supplier chain, establishing mutually beneficial relationships with the reliable suppliers that provide the most value of money. Health-care supplier selection with feasible sets of alternatives and conflicting criteria can be treated as a multi-criteria decision making (MCDM) problem. Among the MCDM methods, grey relational analysis (GRA) appears as a potent tool due to its simple computational steps and ability to deal with imprecise data. The purpose of this paper is to explore the applicability of a newly developed MCDM tool for solving a health-care supplier selection problem.

In GRA, the distinguishing coefficient (ξ) plays a contributive role in final ranking of the alternative suppliers and almost all the past researchers have considered its value as 0.5. In this paper, a newly developed MCDM tool, i.e. dynamic GRA (DGRA), is adopted to evaluate the relative performance of 25 leading pharmaceutical suppliers for a health-care unit based on nine important financial metrics. Instead of static value of ξ, DGRA treats it as a dynamic variable dependent on grey relational variator and ranks the health-care suppliers using their computed rank product scores.

Based on rank product scores and developed exponential curve, DGRA classifies all the suppliers into reliable, moderately reliable and unreliable clusters, helping the health-care unit in identifying the best performing suppliers for subsequent order allocation. Among the reliable suppliers, alternatives A₂ and A₁₁ occupy the top two positions having almost the same performance with respect to the considered financial metrics.

Application of DGRA along with determination of the most reliable suppliers would help in effectively adopting multi-sourcing strategy to increase resilience while diversifying the supply portfolio, thereby enabling the health-care unit to minimize chances of sudden disruption in the supply chain. It can act as an intelligent decision-making framework aiding in solving health-care supplier selection problems considering perceived risks and dynamic input data.

Supplier selection along with continuous evaluation of their performance is a crucial activity in healthcare supply chain management for effective utilization of scarce resources while providing quality service at an affordable price, and minimizing chances of stock-out, avoiding serious consequences on the illness or fatality of the patients. Presence of both qualitative and quantitative evaluation criteria, set of potential suppliers and participation of different stakeholders with varying interest make healthcare supplier selection a challenging task which can be effectively solved using any of the multi-criteria decision making (MCDM) methods.

To deal with various qualitative criteria, like cost, quality, delivery performance, reliability, responsiveness and flexibility, this paper proposes integration of grey system theory with a newly developed MCDM tool, i.e. mixed aggregation by comprehensive normalization technique (MACONT) to identify the best performing supplier for pharmaceutical items in a healthcare unit from a pool of six competing alternatives based on the opinions of three healthcare professionals.

While assessing importance of the six evaluation criteria and performance of the alternative healthcare suppliers against those criteria using grey numbers, and exploring use of three normalization procedures and two aggregation operations of MACONT method, this integrated approach singles out S5 as the most compromised healthcare supplier for the considered problem. A sensitivity analysis of its ranking performance against varying values of both balance parameters and preference parameters also validates its solution accuracy and robustness.

This integrated approach can thus efficiently solve healthcare supplier selection problems based on qualitative evaluation criteria in uncertain group decision making environment. It can also be deployed to deal with other decision making problems in the healthcare sector, like supplier selection for healthcare devices, performance evaluation of healthcare units, ranking of physicians etc.

Increasing public consciousness and demand for sustainable environment make selection of a safe location for effective disposal of healthcare waste (HCW) a challenging issue. This problem becomes more complicated due to involvement of multiple decision makers having varying knowledge and interest, conflicting quantitative and qualitative evaluation criteria, and presence of several alternative locations.

To efficiently resolve the problem, the past researchers have already coupled different multi-criteria decision-making tools with uncertainty models and criteria weight measurement techniques, which are time-consuming and highly computationally complex. Based on involvement of a group of experts expressing their opinions with respect to relative importance of criteria and performance of alternative locations against each criterion, this paper proposes application of ordinal priority approach (OPA) integrated with grey numbers to solve an HCW disposal location selection problem.

The grey OPA can simultaneously estimate weights of the experts, criteria and locations relieving the decision makers from complicated computational steps. The potentiality of grey OPA in solving an HCW disposal location selection problem is demonstrated here using an illustrative example consisting of three experts, six criteria and four alternative locations.

The derived results show that it can be employed to deal with real-time HCW disposal location selection problems in uncertain environment providing acceptable and robust decisions. It relieves the experts from pair-wise comparisons of criteria, normalization of data, identification of ideal and anti-ideal solutions, aggregation of information and so on, while arriving at the most consistent decision with minimum computational effort.

Due to several unique characteristics, such as high tensile strength, low extensibility, high frictional resistance, biodegradability, eco-friendliness and cheapness, Jute ranks second just after cotton with respect to its worldwide consumption and production. To overcome the difficulties of the existing Jute grading procedure, this paper aims to focus on the application of decision-making trial and evaluation laboratory (DEMATEL) and multi-attributive border approximation area comparison (MABAC) methods for evaluation of 10 Tossa Jute fiber lots based on strength, defects, root content, color, fineness and bulk density properties.

The DEMATEL method divides all the six physical properties of Jute fiber into cause and effect groups. The most influencing property is also identified. On the other hand, the considered Jute fiber lots are ranked using MABAC method along with the identification of the strengths and weaknesses of each of them.

This combined approach would provide a more scientific and realistic way of Jute grading and evaluation based on various properties of the considered Jute fiber lots. The positions of the superior and the inferior Jute lots perfectly match with those as identified by the earlier researchers.

It is concluded that the adopted combined decision-making tool can be effectively applied for grading and evaluation of other natural fibers with diverse heterogeneous physical properties.