| | Literature review on the cost of construction of “green” buildings. Survey of how much is spent on these projects. Due to the scarcity of specific studies in the health area, other types are used. | Incremental cost in the construction of “green” buildings in the health area. | With the sustainable objectives considered from the beginning, there is a tendency for costs to remain within budget; team with experience in the area to avoid higher initial costs. | Greater efficiency in the use of energy, water and materials, through better location, design, construction, operation, maintenance and removal. Reduction of impacts on environmental health. | Correlation between the “green” health project and the reduction in the patient’s stay; greater productivity and staff retention; better perception and benefits to the community. | Use of wastewater and rainwater; more efficient air conditioning equipment; alternative energy sources; higher energy performance; sustainable materials; climate-appropriate wraps. |
| | Article. Reports sustainability strategies. | Practical and low-cost measures for sustainability for implementation in hospitals, considering the reality of several institutions in the USA. | It does not address directly. It mentions operational monitoring and identification of areas for intervention. | Restricted to recover the initial investment in the operation phase. | Greater patient satisfaction and safety; better health results and professional retention; demanding users and community regarding the environmental responsibility of organizations. | Monitoring of consumption and comparison with benchmarks; optimization of operation and replacement of building systems; use of renewable energy; goal of reducing gas emissions. |
| | Article. Discusses sustainability and main strategies, presents the pointed barriers that discourage these measures and benefits identified in the organizations that incorporated the concept. It presents three cases of hospitals and indicates five strategies with generic application. | Sustainability as a guiding concept. Orientation of new projects based on savings obtained. Increasing costs and new technologies to be installed were catalysts for this movement, such as competitive advantage and market positioning. | Little emphasis. Projects inserted in the context of technological updating and in the identification of systems subject to greater energy efficiency. | Restricted to recover the initial investment in the operation phase. | Hospital as an educational space in the environment for workers and patients served; environmental quality for workers; leadership before the community. | Energy is strategic due to the possibility of expressive results even with smaller investments; alternative sources; efficiency in water consumption and air conditioning; materials less harmful to the environment, with simpler and more economical cleaning; reuse of demolition waste. |
| | Editorial of a periodical written in first person. Author’s position on the theme of sustainability. | Return on investments in sustainability as a means to its viability. | Radical changes in planning and projects in several phases. New BIM design tools. | Restricted to recover the initial investment in the operation phase. | - | - |
| | Article. It addresses major trends in construction in the health area. Cites quantitative reports from third parties, briefly reporting on measures taken in four cases. | Projects with investments in sustainability and focused on infection control, marking a trend in the health area. | Decisions based on environmental certification criteria, process flows and financial performance. | Restricted to recover the initial investment in the operation phase. He argues that investments are profitable and paid for in a short time. | Expected improvement in processes and patient health. Search for evidence to validate strategies. | Motion sensors in taps, lighting and doors, combining savings and infection control; materials with antimicrobial surfaces. |
| | Article. It addresses the reform carried out in a hospital. When presenting national data, it positions the specific case in relation to the USA panorama at the time. | Cost reduction through energy efficiency. | It does not detail the design process. It highlights that at that time there was no LEED sustainability certification category for requalifications. | Restricted to recover the initial investment in the operation phase. | Priority of investments in operational efficiency in relation to the North American trend, at that time, of prioritizing amenities and technologies in environments. | Improvements in energy efficiency, air conditioning and envelope materials. |