Journal of Medical Internet Research

The leading peer-reviewed journal for digital medicine and health and health care in the internet age. 

Editor-in-Chief:

Gunther Eysenbach, MD, MPH, FACMI, Founding Editor and Publisher; Adjunct Professor, School of Health Information Science, University of Victoria, Canada


Impact Factor 5.8 CiteScore 14.4

The Journal of Medical Internet Research (JMIR) is the pioneer open access eHealth journal, and is the flagship journal of JMIR Publications. It is a leading health services and digital health journal globally in terms of quality/visibility (Journal Impact Factor™ 5.8 (Clarivate, 2024)), ranking Q1 in both the 'Medical Informatics' and 'Health Care Sciences & Services' categories, and is also the largest journal in the field. The journal is ranked #1 on Google Scholar in the 'Medical Informatics' discipline. The journal focuses on emerging technologies, medical devices, apps, engineering, telehealth and informatics applications for patient education, prevention, population health and clinical care.

JMIR is indexed in all major literature indices including National Library of Medicine(NLM)/MEDLINE, Sherpa/Romeo, PubMed, PMCScopus, Psycinfo, Clarivate (which includes Web of Science (WoS)/ESCI/SCIE), EBSCO/EBSCO Essentials, DOAJ, GoOA and others. The Journal of Medical Internet Research received a CiteScore of 14.4, placing it in the 95th percentile (#7 of 138) as a Q1 journal in the field of Health Informatics. It is a selective journal complemented by almost 30 specialty JMIR sister journals, which have a broader scope, and which together receive over 10,000 submissions a year. 

As an open access journal, we are read by clinicians, allied health professionals, informal caregivers, and patients alike, and have (as with all JMIR journals) a focus on readable and applied science reporting the design and evaluation of health innovations and emerging technologies. We publish original research, viewpoints, and reviews (both literature reviews and medical device/technology/app reviews). Peer-review reports are portable across JMIR journals and papers can be transferred, so authors save time by not having to resubmit a paper to a different journal but can simply transfer it between journals. 

We are also a leader in participatory and open science approaches, and offer the option to publish new submissions immediately as preprints, which receive DOIs for immediate citation (eg, in grant proposals), and for open peer-review purposes. We also invite patients to participate (eg, as peer-reviewers) and have patient representatives on editorial boards.

As all JMIR journals, the journal encourages Open Science principles and strongly encourages publication of a protocol before data collection. Authors who have published a protocol in JMIR Research Protocols get a discount of 20% on the Article Processing Fee when publishing a subsequent results paper in any JMIR journal.

Be a widely cited leader in the digital health revolution and submit your paper today!

Recent Articles

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Digital Health Reviews

The use of structured electronic health records in health care systems has grown rapidly. These systems collect huge amounts of patient information, including diagnosis codes representing temporal medical history. Sequential diagnostic information has proven valuable for predicting patient outcomes. However, the extent to which these types of data have been incorporated into deep learning (DL) models has not been examined.

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Tutorial

High-quality data are critical in health care, forming the cornerstone for accurate diagnoses, effective treatment plans, and reliable conclusions. Similarly, high-quality datasets underpin the development and performance of large language models (LLMs). Among these, instruction-tuning datasets (ITDs) used for instruction fine-tuning have been pivotal in enhancing LLM performance and generalization capabilities across diverse tasks. This tutorial provides a comprehensive guide to designing, creating, and evaluating ITDs for health care applications. Written from a clinical perspective, it aims to make the concepts accessible to a broad audience, especially medical practitioners. Key topics include identifying useful data sources, defining the characteristics of well-designed datasets, and crafting high-quality instruction-input-output examples. We explore practical approaches to dataset construction, examining the advantages and limitations of 3 primary methods: fully manual preparation by expert annotators, fully synthetic generation using artificial intelligence (AI), and an innovative hybrid approach in which experts draft the initial dataset and AI generates additional data. Moreover, we discuss strategies for metadata selection and human evaluation to ensure the quality and effectiveness of ITDs. By integrating these elements, this tutorial provides a structured framework for establishing ITDs. It bridges technical and clinical domains, supporting the continued interdisciplinary advancement of AI in medicine. Additionally, we address the limitations of current practices and propose future directions, emphasizing the need for a global, unified framework for ITDs. We also argue that artificial general intelligence (AGI), if realized, will not replace empirical research in medicine. AGI will depend on human-curated datasets to process and apply medical knowledge. At the same time, ITDs will likely remain the most effective method of supplying this knowledge to AGI, positioning them as a critical tool in AI-driven health care.

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Information Retrieval

Measurement-based care improves patient outcomes by using standardized scales, but its widespread adoption is hindered by the lack of accessible and structured knowledge, particularly in unstructured Chinese medical literature. Extracting scale-related knowledge entities from these texts is challenging due to limited annotated data. While large language models (LLMs) show promise in named entity recognition (NER), specialized prompting strategies are needed to accurately recognize medical scale-related entities, especially in low-resource settings.

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Viewpoints and Perspectives

Psychiatric advance directives (PAD), also known as advance statements or advance choice documents, are legal documents that enable people with mental health conditions to specify their treatment preferences in advance for possible future crises. Subtypes of PADs include crisis cards, joint crisis plans, and self-binding directives (also known as Ulysses contracts). These instruments are intended to improve service user involvement and need orientation in the care of mental crises and to avoid traumatization through unwanted treatment. The existing evidence suggests that people who complete a PAD tend to work more cooperatively with their clinician and experience fewer involuntary hospital admissions. Nevertheless, PADs have not been successfully mainstreamed into care due to multiple barriers to the implementation of PADs, mainly around the completion of PADs and their accessibility and use in crises. The reasons for this include the lack of support in the completion process and acceptance problems, especially on the part of professionals. The research to date primarily recommends support for service users from facilitators, such as peer support workers, and training for all stakeholders. In this article, we argue that while these approaches can help to solve completion and acceptance challenges, they are not sufficient to ensure access to PADs in crises. To ensure accessibility, we propose digital PADs, which offer considerable potential for overcoming these aforementioned barriers. Embedded in national health data infrastructures, PADs could be completed and accessed by service users themselves, possibly with the support of facilitators, and retrieved by any clinic in an emergency. We highlight the strengths and limitations of digital PADs and point out that the proposed solutions must be developed collaboratively and take into account digital inequalities to be effective support for people with serious mental health conditions.

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Digital Health Reviews

Digital interventions hold significant potential for improving physical activity (PA) and reducing sedentary behavior (SB) in adults. Despite increasing interest, there remain surprising gaps in the current knowledge of how best to deliver these interventions, including incorporating appropriate theoretical frameworks and behavior change techniques. Following numerous systematic reviews, there is now significant potential for umbrella reviews to provide an overview of the current evidence.

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Medicine 2.0: Social Media, Open, Participatory, Collaborative Medicine

In Chinese traditional culture, discussions surrounding death are often considered taboo, leading to a poor quality of death, and limited public awareness and knowledge about palliative and end-of-life care (PEoLC). However, the increasing prevalence of social media in health communication in China presents an opportunity to promote and educate the public about PEoLC through online discussions.

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New Methods

The myth of Sisyphus teaches about resilience in the face of life challenges. Detransition after an initial gender transition is an emerging experience that requires sensitive and community-driven research. However, there are significant complexities and costs that researchers must confront to collect reliable data to better understand this phenomenon, including the lack of a uniform definition and challenges with recruitment.

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Physician and Health Services Rating by Consumers

Accurately measuring the health care needs of patients with different diseases remains a public health challenge for health care management worldwide. There is a need for new computational methods to be able to assess the health care resources required by patients with different diseases to avoid wasting resources.

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Electronic/Mobile Data Capture, Internet-based Survey & Research Methodology

The onset of the COVID-19 pandemic in early 2020 introduced unprecedented disruptions impacting the emotional well-being and daily routines of US youths. However, the patterns and persistence of these impacts over the pandemic’s multiyear course remain less well understood.

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Digital Health Reviews

Corporate wellness programs are increasingly using digital technologies to promote employee health. Digital wellness programs (DWPs) refer to initiatives that deliver health interventions through digital tools. Despite a growing body of evidence on DWPs, the literature remains fragmented across multiple health domains.

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E-Health / Health Services Research and New Models of Care

Seeking online health information can empower individuals to better understand their health concerns, facilitating their ability to manage their health conditions more effectively. It has the potential to change the likelihood and frequency of health service usage. Although existing literature has demonstrated the prevalence of seeking online health information among different populations, the factors affecting online health information perception and discussions on the associations between seeking online health information and health service utilization are limited.

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eHealth Service, Product, Resource Reviews

The emergence of eHealth services could contribute to improving individuals’ quality of life by optimizing effective and efficient care. However, various challenges might limit some older adults’ use of eHealth services.

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Preprints Open for Peer-Review

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Open Peer Review Period:

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We are working in partnership with

  • Crossref Member

  • Committee on Publication Ethics

  • Open Access

  • Open Access Scholarly Publishers Association

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  • TrendMD MemberORCID Member

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This journal is indexed in

 
  • PubMed

  • PubMed CentralMEDLINE

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  • DOAJCINAHL (EBSCO)PsycInfoSherpa RomeoEBSCO/EBSCO Essentials

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  • Web of Science - SCIE

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