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Andorra as a living lab? The inSCI example
Mercè Avellanet1, Gerold Stucki2, Esther Pages1
1Rehabilitation Department Hospital Nostra Sara de Meritxell, Andorra, Spain; Research Group on Health Sciences, Universitat d'Andorra, Andorra, Spain.
Journal of Rehabilitation Medicine
|March 23, 2026
Summary
Small countries can improve health research capacity by participating in international surveys, as demonstrated by Andorra in the international spinal cord injury survey (InSCI). This participation enhances data collection abilities without compromising scientific rigor.
Area of Science:
- Global Health
- Health Services Research
- Epidemiology
Background:
- Small population countries often face neglect in international health research, hindering their capacity building.
- The World Health Organization (WHO) highlights the need to address research disparities in smaller nations.
- Limited research infrastructure can impede data collection and analysis in small countries.
Purpose of the Study:
- To describe Andorra's participation in the international Spinal Cord Injury (InSCI) survey.
- To evaluate the benefits of international collaboration for health research capacity in small countries.
- To demonstrate how small nations can enhance health information collection.
Main Methods:
- A descriptive analysis was conducted on Andorra's health research landscape.
- Andorra's engagement process and outcomes within the InSCI survey were documented.
- The study assessed the impact on research capacity and governmental support.
Main Results:
- Andorra successfully engaged in the international InSCI survey.
- Participation led to measurable improvements in Andorra's health research capacity.
- Enhanced governmental support for health research was observed.
Conclusions:
- International health surveys offer a viable pathway for small countries to build research capacity.
- Andorra's experience validates the WHO's recommendations for improving health information collection in small nations.
- Participation in international collaborations can be achieved while maintaining high methodological standards.

