This paper aims to review the state of the art technologies for the energy efficiency within the hospitals sector. Hospitals are liable for an unstable amount of energy demand and joint emissions, because of their 24/7 nature of operation and hence resulting larger energy consumption than a typical commercial building. Additionally, they need high quality and warranted supplies of electricity. Due to increased energy demand and therefore the depletion of existing fossil fuel based sources, it is required to use the energy more efficient.

The untapped / hidden benefits of environmental policies are huge, this piece of research showcases and places a monetary value on the added benefits to our health, society and the economy that environmental investments and policy linked to energy efficiency can bring. Findings show that green policies can improve both our health and the economy and can go hand-in-hand. This study provides guidance to policy and decision-makers in developing a methodology for the inclusion of multiple benefits in a cost/benefit assessment of energy efficiency policy.

Co-benefits rarely enter quantitative decision-support frameworks, often because the methodologies for their integration are lacking or not known. This review fills in this gap by providing comprehensive methodological guidance on the quantification of co-impacts and their integration into climate-related decision making based on the literature. The article first clarifies the confusion in the literature about related terms and makes a proposal for a more consistent terminological framework, then emphasizes the importance of working in a multiple-objective–multiple-impact framework.