I'm aware of several large-scale solar situated in hot regions with no active cooling, so I guess my answer to your question is no, high effeciency panels in hot environments do not need active cooling.
Roof tiles are a different question. There's no airflow underneath them. So they probably get hot. Hot enough to matter? That's hard to say. Do they have the same thermal properties as a regular tile? What is the impact on building temperature? These would be factors to consider during construction. More insulation, better airflow, and do on.
Incidentally since they are not flat (at least not in the picture) that likely accounts for the lower effeciency).