Abstract
Objective: The aim of this study was to examine how engagement in end-of-life care by women with gynecologic cancers is shaped by ideological commitments of patients, caregivers, and providers to a political economy of hope and culture of cure. Coconstructed narratives produce a culture that serves as a barrier to utilization of palliative and hospice care. This explains how current interventions centered on education or communication fall short in overcoming this limitation of gynecologic oncologic care.
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