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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.

Government regulation measures for traditional rural older adult care projects have relied mainly on government subsidies. For example, China's Old Age Pension Fund project and Japan's Rural In-Home Pension project are both initiated and managed by local governments, but both have encountered economic challenges in the regulatory process (10). PPP older adult care projects can reduce the government's financial pressure compared to traditional rural older adult care projects, but Euro Girl Escort Netherlands the private sector is also prone to speculative behavior. So, some scholars have pointed out that the government needs to adopt a combination of incentives and penalties for PPP projects, rewarding the private sector for providing quality services and punishing the private sector for opportunistic behavior (11). Sabry pointed out that how and when to implement the monitoring strategy or subsidy strategy has a decisive impact on the success or failure of PPP cooperation (12).

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