BackgroundIn rural China, the participation of residents in elderly medical and nursing care service programs is notably low. To understand the reasons behind this underutilization or reluctance to use such services, an empirical study is warranted.DesignThis study adopts a cross‐sectional research design, utilizing survey data collected between January and March 2023.SampleRetired elderly individuals aged 50 and above who were permanent residents of LS Town.MeasurementsThe survey collects data concerning several key aspects of the older adult population, including their fundamental demographic information, awareness levels regarding integrated medical and nursing care services offered by local township health clinics, their current enrollment status in family doctor contract services, and their propensity to subscribe to such healthcare arrangements.ResultsThe findings indicate a significant positive relationship between awareness of the integrated medical and elderly care nursing model and the willingness of rural older adults to adopt these services. Furthermore, satisfaction with the services also directly influences the willingness to engage with these services.ConclusionThis study contributes to the existing body of knowledge by highlighting the significance of policy dissemination and enhancing service quality as pivotal strategies for governments and health service organizations to foster increased uptake of these services among the rural elderly population.