Journal Guides8 min readUpdated Apr 1, 2026

BMJ Open Impact Factor

BMJ Open impact factor is 2.3. See the current rank, quartile, and what the number actually means before you submit.

Author contextAssociate Professor, Clinical Medicine & Public Health. Experience with NEJM, JAMA, BMJ.View profile

Journal evaluation

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See scope, selectivity, submission context, and what editors actually want before you decide whether BMJ Open is realistic.

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Metric context

A fuller snapshot for authors

Use BMJ Open's impact factor as one signal, then stack it against selectivity, editorial speed, and the journal guide before you decide where to submit.

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Impact factor2.3Current JIF
JCR position84/332Category rank
Acceptance rate27%Overall selectivity
First decision134 days medianProcess speed

What this metric helps you decide

  • Whether BMJ Open has the citation profile you want for this paper.
  • How the journal compares to nearby options when prestige or visibility matters.
  • Whether the citation upside is worth the likely selectivity and process tradeoffs.

What you still need besides JIF

  • Scope fit and article-type fit, which matter more than a high number.
  • Desk-rejection risk, which impact factor does not predict.
  • Timeline and cost context, including APCs like £2,390 GBP (~$3,000 USD).
Submission context

How authors actually use BMJ Open's impact factor

Use the number to place the journal in the right tier, then check the harder filters: scope fit, selectivity, and editorial speed.

Use this page to answer

  • Is BMJ Open actually above your next-best alternatives, or just more famous?
  • Does the prestige upside justify the likely cost, delay, and selectivity?
  • Should this journal stay on the shortlist before you invest in submission prep?

Check next

  • Acceptance rate: 27%. High JIF does not tell you how hard triage will be.
  • First decision: 134 days median. Timeline matters if you are under a grant, job, or revision clock.
  • Publishing cost: £2,390 GBP (~$3,000 USD). Budget and institutional coverage can change the decision.

Quick answer: BMJ Open has a 2024 impact factor of 2.3 and ranks in Q2 in General & Internal Medicine. With a 45-50% acceptance rate, 6-10 week decisions, and transparent open peer review, it is one of the largest clinical medicine megajournals.

What Is the BMJ Open Impact Factor?

BMJ Open has a 2024 JCR impact factor of 2.3 and a five-year JIF of 2.7. It ranks Q2 in General and Internal Medicine, sitting 84th out of 332 journals in the category. Published by BMJ Publishing Group, it has published over 43,000 papers since launching in 2011 and carries an h-index of 237.

That 2.3 makes it one of the lower-impact journals that researchers commonly search for. But the number alone doesn't tell you whether BMJ Open is the right target for your manuscript, and a surprising number of well-cited clinical studies have been published there.

Impact Factor Trend (2019-2024)

Year
JIF
Change
2024
2.3
-0.1
2023
2.4
-0.4
2022
2.8
-2.8
2021
4.4
+1.8
2020
2.7
-0.4
2017
~2.4
-
2018
~2.4
-
2019
2.5
-

BMJ Open also carries a CiteScore of 4.5, an SJR of 1.016, and a SNIP of 0.944 in Scopus (2024). These Scopus metrics place the journal in Q1 in broad medicine, which is a notch above its JCR Q2 ranking because the Scopus category is wider.

The COVID-era spike to 4.4 in 2021 was driven by heavily cited pandemic-related research. BMJ Open published a large volume of COVID observational studies, many of which accumulated citations rapidly. The drop back to 2.3-2.4 represents a return to baseline, not a decline in journal quality.

The five-year JIF of 2.7 smooths over that spike and gives a more accurate picture. BMJ Open has been remarkably consistent in the 2.3-2.8 range outside the pandemic years.

How BMJ Open Compares to Similar Journals

Journal
JIF 2024
5-Year JIF
Quartile
APC
Scope
BMJ Open
2.3
2.3
Q2
$1,839
General medicine (all study types)
PLOS ONE
2.6
2.6
Q1
$2,477
All science fields
Scientific Reports
3.8
3.9
Q1
$2,850
All science fields
BMJ (main)
93.3
67.5
Q1
N/A
Clinical medicine (highest impact)
Medicine
1.6
1.4
Q3
$1,780
General medicine
JAMA Network Open
9.7
9.7
Q1
$3,000
General medicine

BMJ Open sits between Medicine (1.6) and PLOS ONE (2.9) in the metrics. But comparing it to PLOS ONE or Scientific Reports misses the point. BMJ Open is a medical journal that specifically welcomes clinical research, observational studies, protocols, and systematic reviews. PLOS ONE publishes across all of science. They serve different communities.

The more useful comparison is BMJ Open vs JAMA Network Open. Both are high-volume open access companions to prestigious flagships. JAMA Network Open has a much higher IF (13.8) but is far more selective and charges $3,000. BMJ Open is the accessible option for solid clinical work that doesn't need a high-prestige stamp.

What Pre-Submission Reviews Reveal About BMJ Open Submissions

In our pre-submission review work with manuscripts targeting BMJ Open, three patterns generate the most consistent desk rejections.

Reporting guideline compliance claimed but not implemented in the text. BMJ Open's author instructions state: "All manuscripts reporting clinical trials should include a CONSORT flow diagram" and "Observational studies should be reported using STROBE guidelines." The journal's transparent peer review model means reviewer comments are published alongside accepted papers, which creates direct accountability for editors who pass through poorly reported manuscripts. The most common desk-rejection trigger: the mandatory reporting checklist PDF is attached but the manuscript text omits required elements. The protocol was not registered before enrollment, the CONSORT flow diagram is missing, or STROBE items like exposure measurement and sample selection are not described in the Methods. BMJ Open editors are stricter about this than many authors expect for a broad-access journal.

Study design that cannot support the stated conclusions. BMJ Open publishes "any study design" but states submissions must be "scientifically valid." The journal's policy guidance explicitly excludes studies with "unacceptable methodology" regardless of findings. Designs that routinely fail this screen: case series without comparative data, cross-sectional surveys with non-probability samples presented as representative, and before-after studies without control groups that draw causal conclusions. The framing issue is that authors who submit these designs often present limitations as minor caveats rather than addressing why the design choice is defensible for the research question. The editorial question is whether a reasonable reader could interpret the results without being misled by the study design.

Insufficient ethics and consent documentation. BMJ Open's author instructions require authors to provide "ethics committee approval and patient consent or waiver" as part of submission. For studies in low and middle income countries or studies involving vulnerable populations, the journal applies additional scrutiny. Manuscripts submitted without a named ethics committee, approval reference number, and consent statement in the Methods section regularly receive desk rejection. "Ethics approval was obtained from the institutional review board" without a committee name, country, and reference number is not sufficient.

A BMJ Open submission readiness check can verify your reporting guideline implementation against BMJ Open's actual checklist requirements and flag ethics documentation gaps before you submit.

What BMJ Open Actually Publishes (and Why That Matters)

BMJ Open accepts all study types across medicine. That's the official scope. In practice, what fills its pages tells you a lot about where your paper fits:

What gets published most frequently:

  • Observational cohort and cross-sectional studies
  • Systematic reviews and meta-analyses
  • Study protocols (yes, they publish protocols before results exist)
  • Qualitative research and mixed-methods studies
  • Health services research and implementation science
  • Public health and epidemiology studies

What's notable about this list: BMJ Open is one of the few indexed, respectable journals that actively welcomes study protocols and qualitative research. Most medical journals treat these as second-class submissions. BMJ Open treats them as legitimate contributions to the literature, and researchers in these areas know it.

What gets desk-rejected:

  • Case reports (BMJ Open doesn't publish them; try BMJ Case Reports)
  • Laboratory bench science without clinical relevance
  • Studies with no ethics approval documentation
  • Papers that don't follow reporting guidelines (STROBE, CONSORT, PRISMA)
  • Manuscripts where the sample size doesn't support the conclusions

That last point is worth emphasizing. BMJ Open will publish small studies, but only if you're transparent about the limitations. A study with n=30 that claims generalizable results will get rejected. The same study framed as a pilot with appropriate caveats has a real shot.

The Transparent Peer Review Model

BMJ Open pioneered fully open peer review in clinical medicine. Here's what that means in practice:

Every accepted paper gets its reviewer reports published alongside it. Not anonymized summaries. The actual reviewer comments, the editor's decision letters, and the authors' point-by-point responses. All of it, publicly accessible.

This has practical consequences for authors:

  1. Reviewers write more carefully. Knowing their comments will be public tends to reduce dismissive or lazy reviews.
  2. You can read reviews of similar papers. Before submitting, pull up a few accepted BMJ Open papers in your area and read the reviewer reports. You'll see exactly what editors and reviewers focused on.
  3. Your revision quality matters publicly. A sloppy revision response will be visible to anyone who reads your paper. Treat it like a public document.

Reviewer names are published by default, though reviewers can opt out. About 60% choose to sign their reviews.

Acceptance Rate and Review Timeline

BMJ Open accepts roughly 45-50% of submitted manuscripts. That's relatively generous compared to selective journals, but the desk rejection rate is still meaningful. Papers without ethics documentation, without adherence to reporting guidelines, or with fundamental design flaws get caught early.

Typical timeline:

  • Editorial assessment: 1-2 weeks
  • Peer review: 4-8 weeks (2 reviewers standard)
  • First decision: 6-10 weeks from submission
  • Revision turnaround: 4-6 weeks (authors' side)
  • Total submission to acceptance: 3-5 months

BMJ Open handles about 8,000-10,000 submissions per year and publishes around 3,500-4,000 papers. The volume means the editorial team is experienced at processing manuscripts efficiently, but it also means reviewers are sometimes stretched thin during peak submission periods (January-March and September-November).

The APC Question

BMJ Open charges $1,839 (GBP 1,600) as its article processing charge. That's mid-range for medical OA journals. For comparison, JAMA Network Open charges $3,000 and PLOS Medicine charges $5,300.

Fee waivers exist for corresponding authors from World Bank-classified low-income countries. Partial waivers can be negotiated for lower-middle-income countries. You need to request the waiver at submission, not after acceptance.

One thing to know: BMJ offers a Read and Publish agreement with many institutions. If your university has an agreement, the APC may be covered entirely. Check with your library before paying out of pocket.

Submit if / Think twice if

Submit if:

  • You have a well-conducted observational study, protocol, or systematic review in clinical medicine
  • You want transparent peer review with published reviewer reports
  • You want indexing in PubMed, MEDLINE, Scopus, and Web of Science
  • Your work is methodologically sound but doesn't aim for high novelty
  • You're in public health, health services research, or implementation science
  • You need a medical journal that takes qualitative research seriously

Think twice if:

  • Your paper makes a novel clinical discovery (aim higher: BMJ, JAMA, Lancet)
  • Impact factor matters a lot for your career stage (postdoc seeking faculty positions)
  • Your study is basic science without direct clinical relevance
  • You can't cover the $1,839 APC

The Career Context

For researchers in health services, public health, and primary care, BMJ Open is a workhorse journal. It's where you build a publication record with solid, rigorous clinical work. Nobody will raise an eyebrow at a BMJ Open publication on a CV. It's BMJ-branded, PubMed-indexed, and peer-reviewed.

For researchers in competitive biomedical fields targeting faculty positions at research-intensive institutions, the 2.3 impact factor may not carry enough weight. That's not a judgment on the journal. It's a reality of how hiring committees read CVs. In that situation, consider PLOS Medicine (IF 9.9) or JAMA Network Open (IF 13.8) if the work supports it.

One thing worth knowing: BMJ Open papers do get cited. The journal's h-index of 237 puts it ahead of many journals with higher impact factors. High-volume journals accumulate citations differently than selective ones, and individual BMJ Open papers regularly exceed 50 or 100 citations when the clinical question resonates.

Practical Verdict

BMJ Open's 2.3 impact factor is exactly what you'd expect from a high-volume, open access medical journal that publishes across all clinical disciplines. It's not trying to compete with The BMJ on selectivity or prestige. It's filling a different role: a transparent, rigorous, accessible home for clinical research that might otherwise sit in a drawer.

The transparent peer review model, reasonable APC, and genuine openness to study types that other journals won't touch (protocols, qualitative research, negative results) make it a practical option. If the work is sound and you don't need a flashy impact factor, BMJ Open delivers what it promises.

BMJ Open's JCR Deep Metrics

The 2.3 impact factor is the number everyone fixates on. Here's the full picture from the 2024 Journal Citation Reports:

Metric
Value
Impact Factor (JCR 2024)
2.3
5-Year Impact Factor
2.7
Journal Citation Indicator (JCI)
0.71
JCR Quartile
Q2
Category Rank
84 / 332 (General & Internal Medicine)
Articles Published/Year
3,776
Total Citations
92,316
Cited Half-Life
5.0 years

Let's be honest about that JCI. A JCI of 0.71 means the average BMJ Open paper is cited 29% below the global average for its field. That's not great, and it confirms what most researchers already suspect: a typical BMJ Open paper doesn't generate the citation traction of work in more selective journals.

But the 92,316 total citations tell a different story. That's massive volume-driven visibility. BMJ Open publishes 3,776 articles per year, more than almost any other medical journal. Individually, papers may not be heavily cited, but collectively the journal's footprint in medical literature is enormous. If your paper addresses a clinical question that practitioners actually search for, BMJ Open's sheer volume means it'll surface in literature searches.

The 5.0-year cited half-life is typical for clinical medicine, papers stay relevant for about five years before citation rates drop off. Not foundational-research territory, but perfectly aligned with the kind of applied clinical work BMJ Open publishes.

When BMJ Open Is the Right Choice (and When It's Not)

The answer depends on your career stage and what kind of paper you're submitting. Here's the practical breakdown:

Paper Type
BMJ Open Fit
Why
Study protocols
Default venue
Few indexed journals take protocols seriously; BMJ Open does
Observational studies (adequately powered)
Good fit
Core of what BMJ Open publishes; open peer review adds transparency
Pilot/feasibility studies
Natural home
BMJ Open welcomes these with appropriate framing and limitations
Systematic reviews (non-practice-changing)
Solid option
Good for reviews that synthesize evidence without making headline claims
Qualitative/mixed-methods
Strong fit
One of the few PubMed-indexed journals that genuinely values qualitative work
Practice-changing RCTs
Wrong journal
Submit to BMJ, Lancet, JAMA, or NEJM, don't leave impact on the table
Small case series (n < 10)
Poor fit
Better in specialty journals or BMJ Case Reports
Basic science with clinical framing
Wrong journal
BMJ Open desk-rejects bench science regardless of clinical spin

Early-career researchers in public health, primary care, or health services research should treat BMJ Open as a reliable workhorse. It builds your PubMed-indexed publication record without the 90%+ rejection rates of top-tier journals. That matters when you need publications for your next contract renewal.

Mid-career researchers should use BMJ Open strategically for protocol registrations and secondary analyses from larger studies. Your RCT goes to BMJ or Lancet; the protocol and your sub-group analyses go to BMJ Open. That's not gaming the system, it's placing each paper where it fits best.

Senior researchers often publish in BMJ Open when they want maximum open-access visibility for public health or implementation science work. At that career stage, the IF doesn't matter, the readership does.

A BMJ Open vs. selective venue scope and fit check can help you figure out whether your paper is competitive at a more selective venue or well-matched to BMJ Open.

Scopus Metrics: CiteScore, SJR, and SNIP

BMJ Open's Scopus profile tells a slightly different story than the JCR impact factor alone. Its CiteScore of 4.5 captures four years of citation data rather than two, which smooths out annual fluctuations. The SJR of 1.016 weights citations by the prestige of the citing journal, so BMJ Open isn't just cited often, it's cited by credible sources. The SNIP of 0.944 indicates the journal's field-normalized impact is roughly at par for broad medicine. Together, these metrics confirm that BMJ Open's reach is real, even if the 2.3 JIF doesn't look flashy on its own.

Should you target BMJ Open?

Target if:

  • The journal's scope matches your paper's primary contribution
  • The IF reflects the readership you want to reach
  • Your paper can compete at this selectivity level

Consider alternatives if:

  • A journal with better scope fit exists even if the IF is lower
  • The IF is the primary reason you're considering this journal
  • A specialist society journal would give your paper stronger recognition

Frequently asked questions

The JCR 2024 impact factor for BMJ Open is 2.3, with a five-year JIF of 2.7. It ranks Q2 in General and Internal Medicine (84th out of 332 journals).

No. BMJ Open is published by the BMJ Publishing Group, the same organization behind The BMJ (formerly British Medical Journal). It is indexed in PubMed, MEDLINE, Scopus, and Web of Science. It uses open peer review with published reviewer reports.

BMJ Open accepts approximately 45-50% of submissions. However, desk rejection is common for papers with methodological issues, missing ethics approvals, or topics outside the journal scope.

The APC is $1,839 (or GBP 1,600). Fee waivers are available for authors from low-income countries classified by the World Bank.

First decisions typically come in 6-10 weeks. BMJ Open uses fully open peer review, meaning reviewer reports and author responses are published alongside accepted papers.

BMJ Open has a 2024 CiteScore of 4.5 and an SJR of 1.016. Its SNIP is 0.944. These Scopus metrics confirm credible broad-medicine visibility, consistent with the journal's Q2 JCR ranking.

BMJ Open is Q1 in the broad medicine category in Scopus, ranking 104 out of 668 journals. That is higher than its JCR quartile (Q2), because the Scopus classification uses a broader category.

References

Sources

  1. BMJ Open - Author Guidelines
  2. BMJ Open - Journal Homepage
  3. Clarivate Journal Citation Reports (JCR 2024)

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