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 escort providers near me 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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Speck (33) also pointed out that the development of older adult care projects should be based on sound organizational norms and should be adapted to local conditions (33). Therefore, Shi and Hu (34) suggested that the current older adult care service needs further adjustment and standardization by the community in terms of top-level design, financial guarantee, organizational management, and local construction (34). First, from the perspective of the research question, it was linked to rural older adult care services and their provision. Second, from a modeling perspective, it is relevant to the application of evolutionary games.

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