Selecting a sustainable healthcare waste treatment method is a complex multi-criteria problem influenced by environmental, economic, social and technological factors. This study addresses key gaps in the literature by proposing an intuitionistic fuzzy AHP–TOPSIS framework that explicitly models cognitive uncertainty and expert hesitation, while demonstrating its application through a real-world case study in Adana, Türkiye. In contrast to prior studies utilizing fewer criteria, our framework evaluates four treatment alternatives—incineration, steam sterilization, microwave, and landfill—across 17 comprehensive criteria that directly integrate circular economy principles such as resource recovery and energy efficiency. The results indicate that steam sterilization is the most sustainable option, demonstrating superior performance across environmental, economic, social, and technological dimensions. A 15-scenario sensitivity analysis ensures ranking resilience across varying decision contexts. Furthermore, a systematic comparative analysis highlights the methodological advantages of the proposed framework in terms of analytical granularity and robustness compared to existing models. The study also offers step-by-step operational guidance, creating a transparent and policy-responsive decision-support tool for healthcare waste management authorities to advance sustainable practices.
Pınar Özkurt (2026) studied this question.