Technical, Economic, and Environmental Assessment of Hybrid Solar Photovoltaic–Thermal Systems in Hospitals: A Comprehensive Climate Change Mitigation Strategy

The high dependence on fossil fuels for energy supply in hospitals compromises their operational sustainability, increases costs, and contributes significantly to polluting emissions. This study evaluates the technical, economic, and environmental feasibility of integrating photovoltaic and solar thermal systems in a hospital located in a tropical Caribbean environment, characterized by continuous operation and high energy demand. The methodology combines advanced simulation using PVsyst for the photovoltaic subsystem and the f-chart method for the solar thermal system, using real data on electricity and domestic hot water demand. The proposed system achieves an installed photovoltaic power of close to 390 kWp, with an annual production of around 0.7 GWh and an average performance ratio of 0.80, demonstrating high technical performance. The solar thermal subsystem covers approximately two-thirds of the annual domestic hot water demand, supported by thermal storage suitable for hospital operation. From an economic standpoint, the total estimated investment is recovered in less than 10 years, with a positive net present value, confirming the system’s profitability over its useful life. In environmental terms, hybrid integration avoids more than 400 t of CO2 per year, contributing significantly to the decarbonization of the health sector and the strengthening of energy security. The results obtained demonstrate that photovoltaic–thermal integration in tropical hospitals is technically and economically viable and constitutes a replicable solution for regions with high solar radiation and energy vulnerability. This research provides a comprehensive and reproducible methodological framework that can support sustainable energy planning and the design of public policies aimed at low-emission healthcare infrastructure.