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As a new form of cooperation between the government and private sector, PPP projects can provide the public with quality and efficient public goods or services (13). The application of a PPP project in the rural older adult care sector is an innovative application in the context of China's aging population, but it is still in the exploratory stage (14). Only by balancing the interests of multiple stakeholders and seeking the greatest possible consensus can PPP older adult care projects be guaranteed to operate in a stable way (16). However, few studies concerning older adult care services have been conducted on how to subsidize service providers and the public to achieve project success (17). To sum up, game theory has been used in many studies to analyze decision-making among multiple subjects, but relatively few studies have applied game theory to rural older adult care projects. Researchers have also studied factors that affect the provision of PPP older adult care services.