After the EJHPS editor receives a manuscript, the first step is to confirm that the manuscript meets the journal’s rules for the content and EJHPS format as well as the similarity check (plagiarism by iThenticate®) which should not be more than 15%. If the manuscript meets the rules, the editor shall then assign it to a double-blind peer-review process. The EJHPS editor shall send the manuscript to at least two experts in the field for scientific evaluation. The experts – peer reviewers – will then prepare independent reports that assess the manuscript and return it to the editor through the EJHPS portal. The review process should take about 4 to 6 weeks. After reading the peer reviewer's report, the editor will choose one of the following four options:

1. Reject the manuscript.
2. Accept the manuscript.
3. Ask the authors to revise and resubmit the manuscript after responding to the minor/major critiques of the peer reviewers.
4. Assign additional reviewers.

If the authors resubmit the manuscript, the EJHPS editor will ask the same peer-reviewers to reassess the manuscript to confirm that their concerns have been addressed. This is called the re-review process. This revision should take another 4 weeks. If the reviewers agree on accepting the resubmitted version of the manuscript, the EJHPS Editor will inform the authors that the manuscript has been accepted for publication. At this point, the abstract of the article will be published on the journal site until the gally proof is revised. The online publication (in PDF format) of the final version of the manuscript should take 1-2 weeks. As such, the total publication cycle should be from 4 to 6 weeks.

The peer-review process used by EJHPS includes comments on errors in the study’s methods or analysis that raise questions about the findings, or sections that need clearer explanations. The peer-review process also includes the importance and novelty of the manuscript and its interest to the journal’s audience. The EJHPS uses double-blind review, which means that the identities of both the reviewers and authors are concealed from each other throughout the review process. To facilitate the process, the authors are asked to submit two separate files: a Title Page containing the Author details in addition to a Blinded Manuscript with no author details. In case the reviewer has a conflict of interest with the authors he or she should interform the EJHPS editor, the reviewers shall treat the articles in confidence before and during the publication process.