A gestão hospitalar frente aos desafios da COP 30: estratégias de adaptação climática para o atendimento à neurodiversidade

Climate change represents a growing challenge for health systems, requiring adaptation strategies that consider not only environmental and energy-related aspects but also the specific needs of populations in situations of greater vulnerability. In this context, this study aimed to analyze the role of hospital management in addressing challenges related to climate change and COP30, with an emphasis on healthcare for people with autism spectrum disorder (ASD), proposing strategies focused on healthcare resilience, accessibility, and sensory support. This is a qualitative, descriptive, and exploratory study, complemented by an illustrative survey conducted in a healthcare facility with family members of people with ASD through semi-structured questions. The data were analyzed through thematic interpretation, considering aspects related to sensory hypersensitivity, temperature fluctuations, noise pollution, and mobility barriers resulting from adverse weather events. The results showed that environmental factors, particularly excessive heat, temperature variations, intense noise, and transportation difficulties, may contribute to sensory dysregulation, behavioral changes, and interruptions in the continuity of care for people with ASD. The study also identified the need for improvements in hospital infrastructure, particularly efficient climate control, thermoacoustic insulation, sensory-friendly spaces, staff training, and the use of telehealth as a strategy for ensuring continuity of care during climate-related emergencies. It is concluded that resilient hospital management should incorporate neurodiversity into climate adaptation plans by integrating sustainability, accessibility, architecture, clinical engineering, and digital technologies. This approach contributes to the development of more inclusive, humanized healthcare services that are better prepared to respond to vulnerabilities arising from climate change.