Abstract

With the ever expanding array of professional journals, pressures on the peer review process have increased considerably. Unless editors and publishers recognize the need for improving the efficiency of the process, the future of traditional peer review may be at risk. This is a review of the studies that have followed up the suggestions made by Ingelfinger in 1974 for improvement of manuscript peer review. Implementation of changes has been slow, despite the abundance of literature that suggests the necessary improvements. Conscientious self-regulation is expected of editors who, in the current publication scenario, possess enormous power without liability. Suitability of peer review to outsourcing should be assessed and if it is absolutely essential to outsource peer review, care should be taken to ensure that it is implemented systematically and monitored regularly for quality. Finally, it is time for high earning publishers to consider compensation for the efforts of the reviewers