Presentation of Strategic Management Program for Disposal of Hospital Wastes Using Combination of SPACE and Freeman Methods. (Case Study Dr. Shariati Hospital of Tehran)

Ignoring hospital wastes management has caused numerous problems. So the consequences of neglecting the management of these wastes have threatened the environment and human health. This research is done in 1394 and is a case study in Dr. Shariati hospital of Tehran. The aim was to assess the current situation of hospital wastes management system and propose practical strategies and suggestions for improving the management system of hospital wastes.

To determine the current status, after observing the place and controlling wastes management condition during 3 months a questionnaire was distributed through SWOT method and Likert scoring scale within 30 persons and its results were used to complete internal and external factors Matrix and tables of SPACE and Freeman methods.

The analyses showed scoring of external and internal factors are 2/34 and 2/61 respectively. In order to determine each external and internal factors weight more accurately, the hierarchy structure and paired comparison was established using AHP method and Expert Choice software. To set the position of the hospital, SPACE method was used and the hospital rank was in SO position. At the end, Freeman method was used to prioritize the strategies from stake holders’ point of views and “accurate wastes management” became first by +75 score.

As a result, it can be concluded that Freeman and SPACE methods are suitable and efficient for presenting strategic programs in hospital wastes management