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Handbook of Energy and Environment Policy

Edited By Celil Aydin and Burak Darici

The book deals with the broad perspectives on the energy and environment topics and questions the traditional view on energy and environment policy and issues. Nowadays, energy and environmental issues can be accepted as the related subjects by the whole world. The link between energy and environment is backed to the time when only nature's primary resources were used. Primitive societies’ energy demand was small compared to the forces of the environment. With the emergence of industrial nations, the importance of energy and environment relation appeared again.

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3 Energy Efficiency in the Turkish Health Sector

Extract

Mehtap Çakmak Barsbay

3   Energy Efficiency in the Turkish Health Sector

Introduction

Public-sector healthcare organizations meet financial challenges and impact of fiscal pressures. In this way, costs gradually diversify and increase in hospital organizations. While a significant share in hospital expenses is still of the staff wages, expenditure on medicines and medical devices is of paramount cost items as well (Williams et al., 1995). Moreover, one of the cost components which do not draw much attention in hospital organizations is energy costs and consumption. In Germany, where 2,100 hospitals provide therapeutic health services, energy accounts for 2.5 % of total costs of hospitals (Gonzales et al., 2018). Further, energy consumption per bed is greater than annual household energy consumption. Yet hospital organizations are categorized by energy intensive building type. According to the Energy Performance of Buildings Directive in Turkey (Official Gazette, 2008), health institutions represents the second largest energy intensive building behind shopping malls (600 kWh/m2/year) based on reference indicators of Ministry of Energy.

The prominence of health industry in terms of energy could be identified based on utilization indicators such as energy consumption per patient, greenhouse gas emission level per capita, increasing number of healthcare facilities, and medical equipment supply growth. However, need for health services increases the importance of energy input, which will probably be a scarce resource in the future. This threatening situation draws attention to ensuring the efficiency of alternative and renewable energy sources, and current energy...

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