(2) The initial willingness of the game players has a certain impact on the evolution of the system. Improving the local government's willingness to actively supervise the PPP older adult care project is an important guarantee for the smooth development of the project. Population aging is a complex issue that the world must deal with in the twenty first century. According to the United Nations, the global population over the age of 65 was 702.9 million in 2019 and is expected to rise to 1.55 billion by 2050 (1). With the urbanization of the rural young adult workforce and the miniaturization of family structures, the traditional function of family care has been weakened (3). Rural institutions for the older adult are still insufficient, the new rural older adult care system has not yet been established, and there are still many problems in the economic and spiritual lives of the rural older adult (4).

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Among the many older adult care services provided by the Government, the PPP older adult care project has more development potential given the current situation and prospects of rural older adult care development. PPP older adult care projects can integrate older adult care resources in the surrounding area and provide specialized and personalized services for the older adult in the neighborhood. Chapman et al. (23) pointed out that market-based rural aging projects can fully integrate existing health and aging resources (23).