Despite mobile health services becoming a vital tool for improving accessibility and connectivity for older people, there is limited understanding of how they use mHealth services in China. This research hoped to determine the use of health services, health literacy, self-efficacy, and social adaptation among over 60-year-old people in China. Results showed that 48% of participants used mHealth services, and its use correlated with self-efficacy and social adaptation. Developing targeted interventions, including online health education programs, is crucial to address the digital divide and support ageing well.