Obiekty służby zdrowia a wymagania Fit for 55. Jaką mamy szansę na realizację założeń?

• Autorzy: Szczęśniak Sylwia , Karpuk Michał

Identyfikatory

DOI

10.15199/9.2025.3.5

Warianty tytułu

EN

Health Facilities and Fit For 55 Requirements – What Chance do we Have of Meeting Targets?

• Języki publikacji: PL

Abstrakty

PL

W artykule przeanalizowano możliwości poprawy efektywności energetycznej budynków opieki zdrowotnej w kontekście wymagań pakietu Fit for 55, którego celem jest redukcja emisji gazów cieplarnianych o 55% do 2030 roku. Przedstawiono kontekst regulacyjny wynikający z polityki klimatycznej Unii Europejskiej oraz globalnych porozumień, takich jak Porozumienie Paryskie. Podkreślono, że sektor opieki zdrowotnej odpowiada za 4,4% światowych emisji gazów cieplarnianych, a głównym źródłem zużycia energii są systemy HVAC. W Polsce wiele placówek medycznych działa w przestarzałych budynkach, co utrudnia realizację założeń Fit for 55. W artykule omówiono kluczowe strategie poprawy efektywności energetycznej, w tym termomodernizację, wykorzystanie odnawialnych źródeł energii (OZE), optymalizację systemów HVAC oraz wdrożenie systemów zarządzania energią (EMS). Analiza raportów ESG grup LuxMed i Diagnostyka wskazuje na różnice w podejściu do redukcji emisji - LuxMed wykazuje wzrost udziału OZE w bilansie energetycznym, podczas gdy Diagnostyka nadal bazuje na konwencjonalnych źródłach energii. Wnioski artykułu podkreślają konieczność modernizacji infrastruktury budynków służby zdrowia, usprawnienia raportowania zużycia energii i emisji CO2, a także edukacji personelu medycznego w zakresie efektywnego zarządzania energią. Zwiększenie efektywności energetycznej w placówkach ochrony zdrowia stanowi kluczowy krok w realizacji celów neutralności klimatycznej UE.

EN

The article examines the potential for enhancing the energy efficiency of healthcare buildings in the context of the Fit for 55 package requirements. The Fit for 55 package is a series of legislative measures designed to reduce greenhouse gas emissions by 55% by 2030. The regulatory framework resulting from the European Union’s climate policy and global agreements, such as the Paris Agreement, is presented. It is highlighted that the healthcare sector accounts for 4.4% of global greenhouse gas emissions, with HVAC systems being the primary source of energy consumption. In Poland, a significant challenge to meeting the Fit for 55 targets is posed by the fact that many medical facilities operate in outdated buildings. The article goes on to discuss key strategies for enhancing energy efficiency, including building retrofitting, the integration of renewable energy sources (RES), HVAC system optimization, and the implementation of energy management systems (EMS). An analysis of ESG reports from LuxMed and Diagnostyka reveals discrepancies in their approaches to emission reduction, with LuxMed demonstrating an increasing share of RES in its energy balance, while Diagnostyka continues to rely on conventional energy sources. The article concludes that achieving the Fit for 55 goals in healthcare buildings requires modernising infrastructure, enhancing energy consumption and CO2 emission reporting, and educating medical personnel on energy-efficient management practices. The enhancement of energy efficiency in healthcare facilities is identified as a critical step toward achieving the EU’s climate neutrality objectives.

Słowa kluczowe

PL

HVAC; efektywność energetyczna; neutralność klimatyczna

EN

HVAC; energy efficiency; climate neutrality

• Wydawca: Wydawnictwo SIGMA-NOT
• Czasopismo: Ciepłownictwo, Ogrzewnictwo, Wentylacja
• Rocznik: 2025
• Tom: T. 56, nr 3
• Strony: 22--31
• Opis fizyczny: Bibliogr. 42 poz., mapy, wykr.

Twórcy

autor

Szczęśniak Sylwia

• Katedra Klimatyzacji, Ogrzewnictwa, Gazownictwa i Ochrony Powietrza, Politechnika Wrocławska

• https://orcid.org/0000-0003-4358-0263

autor

Karpuk Michał

• Katedra Klimatyzacji, Ogrzewnictwa, Gazownictwa i Ochrony Powietrza, Politechnika Wrocławska

• https://orcid.org/0000-0002-1827-9834

Bibliografia

• [1] Alexis G.K., and P. Liakos. 2013. “A Case Study of a Cogeneration System for a Hospital in Greece. Economic and Environmental Impacts.” Applied Thermal Engineering 54 (2): 488-96. https://doi.org/10.1016/j.applthermaleng.2013.02.019.
• [2] Atienza-Márquez Antonio, Fernando Domínguez Muñoz, Francisco Fernández Hernández, and José Manuel Cejudo López. 2022. “Domestic Hot Water Production System in a Hospital: Energy Audit and Evaluation of Measures to Boost the Solar Contribution.” Energy 261 (December):125275. https://doi.org/10.1016/j.energy.2022.125275.
• [3] Azizi NSM, MAM Din, YT Phan, and JY Tai. 2018. “Review of Energy Saving Behaviour Strategies in Hospital Buildings.” International Journal of Civil Engineering and Technology 9 (11).
• [4] Chen-Xu José, Irina Kislaya, Ricardo M Fernandes, Joana Carvalho, Beatriz J Blanco-Rojas, Omnia El-Omrani, Edoardo Miotto, Katja Čič, Paulo Boto, and Susana Viegas. 2024a. “Interventions for Increasing Energy Efficiency in Hospitals.” Cochrane Database of Systematic Reviews 2024 (3). https://doi.org/10.1002/14651858.CD015693.
• [5] Čongradac Velimir, Bogdan Prebiračević, Nikola Jorgovanović, and Darko Stanišić. 2012. “Assessing the Energy Consumption for Heating and Cooling in Hospitals.” Energy and Buildings 48 (May):146-54. https://doi.org/10.1016/j.enbuild.2012.01.022.
• [6] Corvalan Carlos, Elena Villalobos Prats, Aderita Sena, Diarmid Campbell-Lendrum, Josh Karliner, Antonella Risso, Susan Wilburn, et al. 2020. “Towards Climate Resilient and Environmentally Sustainable Health Care Facilities.” International Journal of Environmental Research and Public Health 17 (23). https://doi.org/10.3390/ijerph17238849.
• [7] Ćwiklińska Dominika, Anna Bogdan, and Mirosław Szyłak-Szydłowski. 2022. “Survey on Factors Influencing Surgeons’ Sensation in Polish Operating Theatres.” Building and Environment 214 (April):108929. https://doi.org/10.1016/j.buildenv.2022.108929.
• [8] Cygańska Małgorzata, and Magdalena Kludacz-Alessandri. 2021. “Determinants of Electrical and Thermal Energy Consumption in Hospitals According to Climate Zones in Poland.” Energies 14 (22): 7585. https://doi.org/10.3390/en14227585.
• [9] Dadi Daniele, Vito Introna, Annalisa Santolamazza, Marcello Salvio, Chiara Martini, Tiberio Pastura, and Fabrizio Martini. 2022. “Private Hospital Energy Performance Benchmarking Using Energy Audit Data: An Italian Case Study.” Energies 15 (3): 806. https://doi.org/10.3390/en15030806.
• [10] Delgado Alison, Kevin Keene, and Nora Wang. 2021. “Integrating Health and Energy Efficiency in Healthcare Facilities.” Richland, WA (United States). https://doi.org/10.2172/1773167.
• [11] Duraivelu Revati, and Natarajan Elumalai. 2021. “Performance Evaluation of a Decentralized Rooftop Solar Photovoltaic System with a Heat Recovery Cooling Unit.” Environmental Science and Pollution Research 28 (15): 19351-66. https://doi.org/10.1007/s11356-020-12104-0.
• [12] Unia Europejska. 2021. “Europejskie Prawo o Klimacie.” Https://Eur-Lex.Europa.Eu/Legal-Content/PL/TXT/?Uri=LEGISSUM:4536626. July 2021. https://eur-lex.europa.eu/legal-content/PL/TXT/?uri=LEGISSUM:4536626.
• [13] Giełda Papierów Wartościowych w Warszawie. 2023. “Wytyczne Do Raportowania ESG. Przewodnik Dla Spółek.” Warszawa. https://www.gpw.pl/pub/GPW/ESG/Wytyczne_do_raportowania_ESG.pdf.
• [14] Główny Urząd Statystyczny GUS. 2024. “Zdrowie i Ochrona Zdrowia w 2023 Roku.” Https://Stat.Gov.Pl/Obszary-Tematyczne/Zdrowie/Zdrowie/Zdrowie-i-Ochrona-Zdrowia-w-2023-Roku,1,14.Html. December 2024. https://stat.gov.pl/obszary-tematyczne/zdrowie/zdrowie/zdrowie-i-ochrona-zdrowia-w-2023-roku,1,14.html.
• [15] Gordo Esther, Àngels Pilar Campos, and D Coelho. 2011. “Energy Efficiency in a Hospital Building Case Study: Hospitais Da Universidade de Coimbra.” Proceedings of the 2011 3rd International Youth Conference on Energetics (IYCE), 1–6. https://api.semanticscholar.org/ CorpusID:21893529.
• [16] Greenhouse Gas Protokol. 2011. “Corporate Value Chain (Scope 3) Accounting and Reporting Standard.” https://ghgprotocol.org/sites/default/files/standards/Corporate-Value-Chain-Accounting-Reporing- Standard_041613_2.pdf.
• [17] Grupa Diagnostyka. 2024. „Więcej Dla Zdrowia. Raport ESG Za Rok 2023.” https://grupadiagnostyka.pl/app/uploads/2024/09/raportesg- 2023.pdf.
• [18] Grupa LuxMed. 2024. „Raport Zrównoważonego Rozwoju Za Rok 2023.” https://www.luxmed.pl/raport-zrownowazonego-rozwoju-grupylux-med.
• [19] Hendron, Robert, Matt Leach, Eric Bonnema, Diwanshu Shekhar, Shanti Pless, Ira Krepchin, Lee Hamilton, et al. 2013. “Advanced Energy Retrofit Guide Practical Ways to Improve Energy Performance.” https://www.nrel.gov/docs/fy13osti/57864.pdf.
• [20] International Energy Agency. 2021. “Net Zero by 2050. A Roadmap for the Global Energy Sector. .” https://iea.blob.core.windows.net/assets/deebef5d-0c34-4539-9d0c-10b13d840027/NetZeroby2050-ARoadmapfortheGlobalEnergySector_CORR.pdf.
• [21] International Energy Agency. n.d. “Energy System. Buildings.” Https:// Www.Iea.Org/Energy-System/Buildings. Accessed July 11, 2023. https://www.iea.org/energy-system/buildings.
• [22] ISO Standards. 2018. ISO 14064-1:2018 Greenhouse GasesPart 1: Specification with Guidance at the Organization Level for Quantification and Reporting of Greenhouse Gas Emissions and Removals. https:// www.iso.org/standard/66453.html. https://www.iso.org/standard/66453.html.
• [23] Kaplan Susan, Blair Sadler, Kevin Little, Kalvin Franz, and Peter Orris. 2012. “Can Sustainable Hospitals Help Bend the Health Care Cost Curve?”
• [24] Koulamas C., A. Moronis, A. Kalogeras, and D. Liberanome. 2017. “Choosing Measures for Energy Efficient Hospital Buildings.” In 2017 22nd IEEE International Conference on Emerging Technologies and Factory Automation (ETFA), 1-7. IEEE. https://doi.org/10.1109/ETFA.2017.8247666.
• [25] McGain Forbes, and Chris Naylor. 2014. “Environmental Sustainability in Hospitals - a Systematic Review and Research Agenda.” Journal of Health Services Research & Policy 19 (4): 245-52. https://doi.org/10.1177/1355819614534836.
• [26] Our World in Data. n.d. “Annual CO2 Emissions, 2023.” Https://Ourworldindata.Org/Grapher/Annual-Co2-Emissions-per-Country?Tab=map&time=latest. Accessed March 4, 2025. https://ourworldindata.org/grapher/annual-co2-emissions-per-country?tab=map&time=latest.
• [27] Papantoniou Sotiris, Dionysia Kolokotsa, and Kostas Kalaitzakis. 2015. “Building Optimization and Control Algorithms Implemented in Existing BEMS Using a Web Based Energy Management and Control System.” Energy and Buildings 98 (July):45-55. https://doi.org/10.1016/j.enbuild.2014.10.083.
• [28] Parlament Europejski. 2018. Ograniczanie Emisji Gazów Cieplarnianych w UE: Krajowe Cele Na 2030 r. . https://www.europarl.europa.eu/topics/pl/article/20180208STO97442/ograniczanie-emisji-gazowcieplarnianych-w-ue-krajowe-cele-na-2030-r.
• [29] Prada Marcela, Ioana Francesca Prada, Monica Cristea, Daniela Elena Popescu, Constantin Bungău, Lotfi Aleya, and Constantin C. Bungău. 2020. “New Solutions to Reduce Greenhouse Gas Emissions through Energy Efficiency of Buildings of Special Importance - Hospitals.” Science of The Total Environment 718 (May):137446. https://doi.org/10.1016/j.scitotenv.2020.137446.
• [30] Rada Europejska, Rada Unii Europejskiej. 2021. “Gotowi Na 55 (Fit for 55).” Https://Www.Consilium.Europa.Eu/Pl/Policies/Fit-for-55/. July 2021. https://www.consilium.europa.eu/pl/policies/fit-for-55/.
• [31] Rada Europejska, Rada Unii Europy. 2015. “Paryskie Porozumienie Klimatyczne.” Https://Www.Consilium.Europa.Eu/Pl/Policies/Paris-Agreement-Climate/. 2015. https://www.consilium.europa.eu/pl/policies/paris-agreement-climate/.
• [32] Salem Szklo, Alexandre, Jeferson Borghetti Soares, and Maurı́cio Tiomno Tolmasquim. 2004. “Energy Consumption Indicators and CHP Technical Potential in the Brazilian Hospital Sector.” Energy Conversion and Management 45 (13-14): 2075-91. https://doi.org/10.1016/j.enconman.2003.10.019.
• [33] Sawyer Louise, Simon Kemp, Patrick James, and Michael Harper. 2021. “Assessment of a Nurse Led Energy Behavior Change Intervention in an NHS Community Hospital Ward.” Energies 14 (20): 6523. https://doi.org/10.3390/en14206523.
• [34] Shehab Salman Ali Salman. 2017. “Enhancing Environmental Sustainability of Healthcare Facilities: A System Dynamics Analysis Approach.” London: Brunel University. http://bura.brunel.ac.uk/handle/2438/15593.
• [35] Suszanowicz D., and P. Ratuszny. 2019. “Energy Efficiency Improvement in Hospital Buildings, Based on the Example of a Selected Type of Hospital Facility in Poland.” IOP Conference Series: Materials Science and Engineering 564 (1): 012129. https://doi.org/10.1088/1757-899X/564/1/012129.
• [36] Szczęśniak Sylwia. 2023. “Możliwości ograniczenia energii niezbędnej do utrzymania systemów wentylacji mechanicznej i klimatyzacji z odzyskiem ciepła w obiektach szpitalnych.” Ciepłownictwo, Ogrzewnictwo, Wentylacja 1 (3): 12-22. https://doi.org/10.15199/9.2023.3.2.
• [37] UN Global Compact. Network Poland. 2022. “Zielone Szpitale.” Warszawa. https://ungc.org.pl/wp-content/uploads/2023/05/Raport_UN_GCNP_Zielone_szpitale.pdf.
• [38] Uścinowicz Piotr, Anna Bogdan, Mirosław Szyłak-Szydłowski, Magdalena Młynarczyk, and Dominika Ćwiklińska. 2023. “Subjective Assessment of Indoor Air Quality and Thermal Environment in Patient Rooms: A Survey Study of Polish Hospitals.” Building and Environment 228 (January):109840. https://doi.org/10.1016/j.buildenv.2022.109840.
• [39] Watts Nick, Markus Amann, Nigel Arnell, Sonja Ayeb-Karlsson, Kristine Belesova, Maxwell Boykoff, Peter Byass, et al. 2019. “The 2019 Report of The Lancet Countdown on Health and Climate Change: Ensuring That the Health of a Child Born Today Is Not Defined by a Changing Climate.” The Lancet 394 (10211): 1836-78. https://doi.org/10.1016/S0140-6736(19)32596-6.
• [40] World Health Organization. n.d. “Ambient (Outdoor) Air Pollution.” https://Www.Who.Int/News/Item/26-02-2025-Who-Unveils-Updated- Global-Database-of-Air-Quality-Standards. Accessed October 24, 2024. https://www.who.int/news/item/26-02-2025-who-unveils-updatedglobal-database-of-air-quality-standards.
• [41] Worldometers “CO2 Emissions by Country.” https://Www.Worldometers. Info/Co2-Emissions/Co2-Emissions-by-Country. Accessed March 4, 2025. https://www.worldometers.info/co2-emissions/co2-emissions-bycountry.
• [42] Zaza Paraskevi N., Anastasios Sepetis, and Pantelis G. Bagos. 2022. “Prediction and Optimization of the Cost of Energy Resources in Greek Public Hospitals.” Energies 15 (1): 381. https://doi.org/10.3390/en15010381.