In order to approach the problems faced by the MediCiego provincial journal, a group of seminars was conducted with editors, arbiters and other social actors related to the publication, The main internal and external forces influencing on the successful development of this journal were identified. Some possible solutions were given, such as the establishment of quarterly training workshops for the publishing and counselling board, the organization of courses of scientific writing, information sciences and research methodology, the making and presentation of an investment project on the journal aimed at obtaining resources to improve the quality of publication and the creation of arbitrage models by which the arbiters may review in a uniform way the different types of articles, among others