Evidence map›Paper›PMID 41938032›Full record

ArticleRisk management and healthcare policy2026

Mitigating Systemic Risks in Aging Services: An Evolutionary Game Analysis of Fiscal Policy, Service Quality, and Workforce Supply.

Xiaohong Shen, Xin Zhang, Han Wang

Abstract read
In one paragraph

Article in Risk management and healthcare policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Xiaohong ShenSchool of International Education and Healthcare, Jiaxing Nanyang Polytechnic Institute, Jiaxing, People's Republic of China.
Xin ZhangSchool of Business, Applied Technology College of Soochow University, Suzhou, People's Republic of China.
Han WangFaculty of Teacher Traning, Xishuangbanna Vocational and Technical College, Jinghong, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Rapid population aging imposes escalating fiscal and operational pressures on public health and long-term care systems, increasing the likelihood of supply-demand imbalances and workforce shortages. Understanding how government agencies, aging service institutions, and the professional education system interact is essential for mitigating systemic risks and ensuring sustainable service provision. Methods: This study develops a tripartite evolutionary game model that integrates talent supply dynamics into a comprehensive risk-governance framework. The model links workforce development with institutional performance and fiscal sustainability. System stability and evolutionary trajectories were examined through MATLAB simulations under multiple policy scenarios involving subsidies, incentives, and professional education reform. Results: Simulation results reveal that exclusive reliance on government subsidies may heighten long-term fiscal pressures and weaken systemic resilience. In contrast, a market-oriented self-organizing mechanism helps maintain service quality while reducing dependence on public funding. The analysis also identifies a bidirectional feedback loop: institutional demand can stimulate educational reform, while an adequately trained workforce lowers marginal service costs. Nevertheless, insufficient practice-oriented education may create a talent bottleneck that destabilizes the system even when financial support is present. Discussion: The findings indicate that the sustainability of aging care systems depends more on dynamic incentive structures that align workforce development with service quality evaluation than on static fiscal expansion. Strengthening the coordination of education, institutional performance incentives, and government regulation can mitigate market failure risks and foster more equitable resource allocation.

Indexed as

evolutionary game theoryfiscal sustainabilityhealthcare risk managementlong-term care governancepolicy optimizationworkforce supply chain

Identifiers

PMID41938032
PMCPMC13044804

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.