Tehran University of Medical Sciences Health Technology Assessment in Action 2645-3835 10 2 2026 07 22 259 259 Masoumeh Ebrahimi Tavani Academic Research Staff, Quality Improvement, Monitoring and Evaluation Department, Center of Health Network Management, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran. Esmaeil Moshiri Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran Farid Gharibi Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran 2024 02 10 2024 09 01 Context: Disaster management is one of Iran’s primary health care (PHC) areas, and it is becoming increasingly important due to continuous disasters. Objectives: This study aimed to develop a national accreditation model for disaster management in Iran’s PHC system.  Methods: The primary model was developed by reviewing the literature/documents and organizing specialized interviews with the experts. Then, the Delphi technique was used to reach a consensus among experts on the developed model. The primary standards were assessed from the experts' perspective based on "importance" and "feasibility" criteria on a 9-degree scale. In two rounds of Delphi, 14 out of 16 experts completed the questionnaires. Results: The final developed model emphasizes providing required resources, enhancing the preparedness of health centers and households, taking appropriate actions in three phases of disaster, and evaluating the disaster management program. Conclusions: Considering the strong consensus among experts on the Delphi stage, this model can improve disaster management performance. https://htainaction.tums.ac.ir/index.php/hta/article/view/259 https://htainaction.tums.ac.ir/index.php/hta/article/download/259/186 https://htainaction.tums.ac.ir/index.php/hta/article/download/259/233