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Pay-for-performance (P4P) as an innovation for improved health care has been introduced in many health systems worldwide. The aim of this article is to apply and refine a specific theoretical angle for the analysis of these reforms, the theoretical frameworks of public policy instruments and programmatic actors, in order to highlight differences between countries.

This analysis is based on a comparative case study of the introduction of P4P in France and Germany in the ambulatory sector for the period from 2007 until 2017. This included a literature review and semi-structured interviews with 23 actors between 2013 and 2015.

The introduction of a supposedly clear-cut policy instrument – P4P in health care – is distinctly shaped by the intertwined configuration of institutional architecture and the policy programme of key system actors. This can be understood as a continuation of long-term transformations, most importantly the increasingly direct influence of the state and a weakening of the representation of the medical profession, as well as an internal fragmentation of the latter.

This analysis illustrates the applicability of the policy instrument approach to the heath sector. In addition, the authors have applied the dual perspective of policy instruments and programmatic actors. Both proved complementary and appropriate for the study of a highly technical instrument such as P4P.

Aims to investigate the contribution of life cycle assessment to global sustainability reporting of organizations.

Assesses the current state of global sustainability reporting and points out future trends of reporting within the three dimensions of economy, environment and society.

The internal and external communication of the corporate performance is a very important company way to sustainable development. The communication of the corporate performance comprises the strategic and operational goals, the corporate performance data on inventory level, the translation of the inventory data to sustainability core indicators as well as the performance evaluation in terms of sustainability. The future trends on policy level and in customer demands are moving towards a product‐related consideration of sustainability issues, the inclusion of indirect effects over the life cycle in addition to the site‐related effects of companies’ activities, the analysis of results on impact level as well as the automation of data administration.

The methodology of life cycle assessment (LCA) provides the main starting‐point for global sustainability reporting including the emerging future trends in this context. This paper shows that results of impact assessments as central parts of an LCA are a good basis for creating significant indicators for sustainability reports.