{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:52:56Z","timestamp":1787025176003,"version":"build-2736575974"},"reference-count":18,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JRM"],"abstract":"<jats:p>Objective: In light of the persistent concern identified by the World Health Organization (WHO) that small population countries tend to be ignored in international health research, preventing them from developing research capacity, this paper describes the participation of Andorra in an international spinal cord injury survey (InSCI) and resulting benefits.\nMethods: Descriptive analysis of Andorra\u2019s health research situation and participation in InSCI.\nResults: Andorra has successfully participated in an international survey improving health research capacity and governmental support.\nConclusion: In line with WHO recommendations to improve small country health research capacity, and specifically to improve their health information collection capacity, the described participation of Andorra in an international health survey demonstrates how this capacity can be improved without sacrificing methodological restrictions.<\/jats:p>","DOI":"10.2340\/jrm.v58.44222","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T14:09:29Z","timestamp":1774274969000},"page":"jrm44222","source":"Crossref","is-referenced-by-count":1,"title":["Andorra as a living lab? 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Meeting report of the First High\u2011level Meeting of Small Countries: Implementing the Health 2020 vision in countries with small populations; 2014, July 3\u20134; San Marino [cited 2025 October 15]. Available from: https:\/\/www.who.int\/europe\/publications\/i\/item\/WHO-EURO-2014-4440-44203-62421"},{"key":"146084","unstructured":"World Health Organization. The Small Countries Initiative [cited 2025 October 15]; Available from: https:\/\/www.who.int\/europe\/publications\/m\/item\/the-small-countries-initiative-leaflet"},{"key":"146085","unstructured":"World Health Organization, Regional Office for Europe. Roadmap towards better health in small countries in the WHO European Region, 2022\u20132025. WHO Regional Office for Europe; 2022, Jun 2 [cited 2025 October 15]; Available from: https:\/\/iris.who.int\/handle\/10665\/354487"},{"key":"146086","unstructured":"Thijssen S. Does size matter? The challenges and strengths of health information systems (HIS) in small EU Member States and their provision of health information to international requests and agreements [dissertation]. Maastricht University; 2015."},{"key":"146087","unstructured":"Rosenkotter N, van Bon-Martens M. Public health reporting and monitoring: maintaining and improving the evidence-base. Eurohealth 2015; 21: 17\u201320."},{"key":"146088","unstructured":"Azzopardi-Muscat N, Vassallo P, Calleja N, Usava A, Zambon F, Stein C, et al. Health information systems in small countries of the WHO European Region: Report from the small countries health information network. Pub Health Panorama 2016; 2: 278\u2013284."},{"key":"146089","unstructured":"GBD 2019 Healthcare Access and Quality Collaborators. 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