Another area that awaits improvement, according to Yu et al. [101] , is the unequal distribution and nonspecialisation of journals in China. Nearly half of the 31 English language journals surveyed are general medical journals, while there are no English language journals from China that are specialised in fields like epidemiology and preventive medicine. As it has been suggested [44] , general journals should merge to raise their profile while others should specialise to avoid overlap in disciplines.