 Editor-in-chief Gunther Eysenbach commented that the spin-off journals would eventually have their own boards and that the fast-track option does not affect the quality or integrity of its peer-review processes.As of the end of 2016, all journals had their own editorial boards.According to the "Journal Citation Reports" the journal has a 2016 impact factor of 4.945, ranking it first out of 22 journals in the category "Medical Informatics" and 4th out of 90 journals in the category "Health Care Sciences & Services".