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The Pasifika (Pacific Island) research methodology talanoa (conversation) has contemporary resonance beyond its local context. At the recent Bonn Climate Change Conference, for example, talanoa was adopted to spark international dialogue about our collective futures. But this and other recent instances raise the question as to whether and how talanoa can and should be applied in a non-Indigenous context – or, indeed, online. As a culturally diverse research team, we undertook a talanoa about our experience of researching historical literacy with Māori and Pasifika students through talanoa. Here we introduce what we learnt from the literature about the nature of talanoa, its use as a methodology, and its application in higher education and reproduce our own recent online talanoa on the experience of learning to do talanoa together. Three key lessons emerged from our research conversation. Firstly, we learnt that time is of the essence: researchers must carefully balance the need for the talanoa to run its natural course with the need to not overburden the participants. Secondly, we learnt that where the researchers undertake the talanoa is less important than attending to the relationships (the vā) between the researchers and participants, and the researchers and participants themselves. And, finally, in keeping with what some Māori researchers and their allies have argued of Kaupapa Māori research methodology, we learnt that indigenous methodologies like talanoa, when employed with care and in recognition of their emergence out of decolonial struggles for indigenous sovereignty and self-determination, can foster a fruitful intercultural research conversation.

In the era of the knowledge economy, universities are expected to contribute to the economic development of their countries. Therefore, their research agendas must be relevant to the local context and geared, though not uncritically, to the national educational agenda. To do this diligently requires research autonomy. However, due to the low government investment in research on the African continent, universities have had to rely on other sources of funding, which usually come with strings attached. Our study investigates the case of Ghana, in particular, the University of Ghana, the leading research university in the country. We drew on resource dependence theory, which suggests that, despite external pressures on universities, they can enhance their autonomy through the implementation of strategic measures. Primarily, we analyzed documents such as research reports, journal articles and speeches in the light of Clark’s (1998) model of the “entrepreneurial university,” which, if adapted with care and in a localized form in Ghana, may contribute to the research autonomy of its universities. We found that, although research autonomy in Ghanaian universities is limited due to their over-reliance on external donor funding, it is likely to be strengthened if the government of Ghana follows through on plans to increase research funding and universities continue with measures to diversify their funding sources.

In democratic societies, universities are unique institutions that are responsible for conducting critical research, training students and educating the next generation in pursuit of knowledge for community and societal welfare. Universities are a platform where like-minded knowledgeable people are encouraged to think freely and formulate educational policies for the progress of their nation. Academic freedom to think, teach or conduct research is a key legitimating concept (Menand, 1996) and is based on the belief that faculty and even students who form a part of the body of academia should not be subjected to any kind of coercive policies and external authority that limits their ability to think, practice and pursue knowledge. Accountability to stakeholders also is a critical part of academic freedom, which comes with autonomy and is essential for optimizing the activities of a university.

Academic freedom in teaching–learning methods is crucial to a nation’s growth. The concept comes with numerous misnomers and is subjected to much academic debate and doubts. This book is dedicated to seeking the widening frontiers of academic freedom and authors have put forth their opinion in the form of case studies and empirical research that considers academic freedom of faculty and students as one of the main goals to be achieved by any university. Advancement of knowledge and quality of research is to be encouraged and supported by the leadership team in any institution of higher education where autonomy to work freely remains the foremost criterion of success. Truth and intellectual integrity remain the fundamental principles on which the foundation of a university should be laid (Downs, 2009).

The purpose of this article is to analyze the effects patients' socioeconomic characteristics, along with hospital size and location, had on the initial treatment choice for individuals with hypertension with complications and secondary hypertension.

The analysis uses retrospective data and binary logistic regression to analyze treatment choice determinants. Initial diagnostic and/or therapeutic procedures were categorized as invasive or non‐invasive, which served as the dependent variable.

Uninsured people were more likely to get less expensive non‐invasive treatment. Medicare patients were approximately twice as likely to receive an invasive procedure as individuals with private insurance, even after controlling for age and other socioeconomic characteristics. Minorities and males were also more likely to receive an invasive primary procedure. Significant treatment variations across States were also found.

There were insufficient observations to look at variability within patients treated by a single physician. Future research could tie this information into a simultaneous equation system in order to determine whether patients who received one treatment type versus another were better off.

Finding that characteristics other than morbidity affect the type of treatment received indicates that public policy could improve care. Most important, the ability to pay, type of insurance, geographic location and race influence whether patients receive invasive or non‐invasive treatment upon hospitalization for hypertension, indicating that policies prescribing treatment alternatives that remove non‐medical issues from calculation may improve overall outcomes.

Comprehensive treatment‐choice analyzes have been largely overlooked in the hypertension literature. Additionally, few studies analyze choice using data from such a diverse array of geographic areas and socio‐economic strata.