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The PPP older adult care project involves key subjects such as local governments, the private sector, and rural residents. To study the evolution of cooperative behavior strategies of related subjects in the PPP model, the specific hypotheses are as follows, and the relevant game variables are shown in Table 1. In the PPP older adult care project, previous studies have focused on how the government develops and regulates the provision of older adult care services, with less discussion of other actors. The government plays the role of supervisor and is responsible for regulating and managing the operation of the PPP older adult care project. Yang et al. (31) pointed out that the PPP older adult care project faces a series of problems (31), such as organizational irregularities and communication difficulties, which need to be adjusted and regulated. Huang and Zhang (32) emphasized that policy guarantee is an important factor for the effective operation of older adult care projects (32).

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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.