Introduction: Access to palliative care is a right recognized in France since 1999. Various care systems are present in the field of palliative care, and in particular the Identified Palliative Care Beds (LISP), which aim to promote the deployment of the palliative culture and approach in care services regularly confronted with palliative situations and whose organizational reference framework is mentioned in DHOS/O2/2008/99 of 25 March 2008. Although the system is widely deployed in hospitals, there is still some uncertainty about the actual functioning of LISPs and the impact of the system on these initial objectives. The LISP study thus proposes to question the contribution of LISPs to the deployment of culture and palliative care in healthcare services.
Method: The investigation method used for this qualitative survey is based on semi-directive interviews in 6 establishments in the Bourgogne Franche Comté region.
Results: At the end of our study, we note that in half of the services surveyed, the system has clearly contributed to the gradual emergence of a palliative culture and approach.
Conclusion: A number of measures necessary for its efficiency are emerging, which could give rise to avenues of reflection articulated in 3 axes: making the system less abstract, in particular by identifying LISPs at the level of services and strengthening the information transmitted with regard to the system, developing support by EMSPs, and questioning the means to be allocated to enable efficient operation.