(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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