HPHNJ applies a double-blind peer review system, in which the identities of both authors and reviewers are kept confidential.

The editorial process typically includes:

1. Initial editorial screening
2. Assignment to independent peer reviewers
3. Reviewer evaluation
4. Editorial decision

The peer review process generally takes 4–12 weeks, depending on reviewer availability and the complexity of the manuscript. Authors may be asked to revise their manuscript based on reviewer comments before a final decision is made.