Following the approval by the European Parliament of the directive on energy efficiency of public buildings, a great effort has
been directed towards enhancing low-emission systems such as fuel cells (FC), photovoltaic systems (PVS) or solar thermal systems
(STS), especially in all public facilities, such as hospitals, characterizedby relevant energy requirements. This paper develops a theoretical
analysis which focuses on the environmental benefits achievable through a shift from the conventional systems, normally
operating in hospitals, to various hybridplants. The model site is a hospital locatednear Ferrara (Italy). Several hybridschemes
were investigated and compared: PAFCs (phosporic acid fuel cells), STS and PVS. An energy analysis was developed for each option
assuming, as a benchmark, the conventional systems operating today in the medical center. The results, presented with reference to
the primary energy requirements and the pollutant emissions, demonstrate that in the case of existing systems being upgraded with
these hybridplants, overall emissions couldbe abatedwith a significant reduction in fossil energy consumption. Finally, an economic
study, even taking external factors into account, is developed for all the retrofit scenarios in terms of annual return, simple
payback periodand IRR
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