## 1 Introduction  
Global energy consumption has increased in the last 40 years by over 100%, meaning that society and governments have focused on energy efficiency and sustainability to counteract its negative effects [1; 2]. The primary goal is to avoid the exhaustion of energy resources, environmental issues, and increase in energy prices; however, urbanization affects this target [3]. According to the United Nations, more than 60% of the population will reside in urban areas by 2050 [4], with buildings being one of the most critical sectors in energy consumption. So, well-designed buildings are crucial for controlling current and future electrical consumption and pollutant emissions. Buildings represent more than 30% of global energy consumption and are responsible for 27% of CO\({}_{2}\) emissions into the environment [5]. According to multiple analyses, this behavior will increase the products of climate change [6]. This annual requirement is primarily for cooling, heating, ventilation, and lighting [7]. Energy management can reduce energy consumption in facilities by up to 20% and impact total energy demand [8]. However, in predicting energy consumption, there are various challenges, such as ambient temperature, area and type of building, and age of the construction, to mention a few [9; 10]. In this context, health centers are important, since their operation requires an efficient and high-quality service that must be met in indoor conditions that guarantee thermal comfort. In addition, health standards are increasingly regulated and have a high impact on this type of building. Meeting these requirements carries a significant energy demand that has been overlooked for many years. Medical centers have the highest energy consumption among the leading commercial buildings; their energy requirement is allocated to air conditioning, medical equipment, and maintenance [11]. Various studies have shown that 40% of consumption in medical centers comes from air conditioning systems [12]. This consumption is estimated to be worse in countries with warm and tropical climates, characterized by high temperatures increasing the electrical demand for indoor cooling [13]. In this context, in Mexico, the annual consumption in medical centers was 3698 MJ/m\({}^{2}\), where 80% of the annual demand comes from regions with warm and humid climates [14]. Furthermore, according to some studies, the public sector might present an underestimation issue [14; 15]. This consumption is the product of many factors, but one of the most important is the inefficient physical state of the building and inefficient equipment; for this reason, it is imperative to study different strategies that help reduce operating costs [12]. [PERSON], [PERSON] et al. [11] carried out a comprehensive evaluation through satisfaction questionnaires of users for a medical center in China, improving energy efficiency. [PERSON] et al. [16] studied the impact of modifying the building envelope using green retrofits in South Korea. Their results demonstrated that this technique improves heating systems' energy efficiency by 30%. [PERSON] and [PERSON] [17] focused on energy efficiency and CO\({}_{2}\) mitigation in a hospital building, evaluating insulation materials, building orientation, lighting efficiency and window-to-wall ratios, obtaining energy consumption reductions by 50%. Similar analyses have been reported for hospitals in Spain [18], Italy [19], and Australia [20], to name a few. The bibliographic review in this paper establishes the importance of analyzing medical centers' energy consumption and prediction. The works presented in the bibliographic review focus on modifying operating parameters, HVAC system technologies, and modifying the building envelope. Furthermore, few works address this topic for regions with a tropical climate and coastal cities, focusing mainly on temperate or Mediterranean climates. No studies focused on the thermo-energetic behavior of medical centers in Mexico, specifically in regions with a tropical climate.