en Healt care Management پژوهشي Original article <strong>Background: </strong>One of the most important requirements for developing a strategic plan is the effective participation of various stakeholders in plan formulation. The aim of present study was the evaluation of stakeholder participation in the strategic plan developing process in selected hospitals in Tehran.<br> <strong>Methods:</strong> This is a cross-sectional study. This study was conducted in selected hospitals at Tehran in 2015. The data collection tool was a researcher made questionnaire consisting of 3 parts: demographic data, stakeholder participation, and attention to the strategic plan&#39;s components. The validity of questionnaire was confirmed by experts, and its reliability was confirmed by Cronbach&#39;s Alpha test (&alpha; = 0.8). The SPSS₁₈ software was used for data analysis. Descriptive statistics (means, standard deviations, and percentages) were calculated<span dir="RTL">.</span><br> <strong>Results: </strong>The findings showed that the highest (42.9) and lowest (34.7) mean score of stakeholder participation in the strategic planning formulation was related to &quot;provision required information for planning&quot; and&quot; presentation of gathering and documentation of the plan, &quot;respectively. Hospital managers (91 percent) had the highest involvement, and external stakeholders had the least participation (1.7 percent) in the strategic planning formulation. The least attention is devoted to evaluating the proposed strategies&#39; feasibility, identifying competitive and strategic differentiation, and identifying stakeholders&#39; concerns and needs, respectively.<br> <strong>Conclusion: </strong>Stakeholders&#39; involvement in the formulation of the hospitals&#39; strategic plan was not favorable, and hospitals were unable or unwilling to benefit from their participation in the program. Strategic plan, Stakeholders, Hospital, Iran 185 193 http://jebhpme.ssu.ac.ir/browse.php?a_code=A-10-298-1&slc_lang=en&sid=1 Mehdi Jafari 0000-0002-2890-9967 No Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Shahram Tofighi 0000-0002-6862-0092 No Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran Jamil Sadeghifar Sadeghifar-j@gmail.com 0000-0002-9422-7403 Yes Department of Health Education, School of Health, Ilam University of Medical Sciences, Ilam, Iran Shabnam Ghasemyani 0000-0001-5067-9857 No Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Mohammad Roshani 0000-0002-5111-1347 No Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Zahra Toulideh 0000-0002-5705-1090 No Department of Quality Assurance, Mostafa Khomeini Hospital, Ilam, Iran