title: Is the effect of person-organisation fit on turnover intention mediated by job satisfaction? A survey of community health workers in China.
abstract: Person-organisation fit (P-O fit) is a predictor of work attitude. However, in the area of human resource for health, the literature of P-O fit is quite limited. It is unclear whether P-O fit directly or indirectly affects turnover intention. This study aims to examine the mediation effect of job satisfaction on the relationship between P-O fit and turnover intention based on data from China.
  
  
  
  This is a cross-sectional survey of community health workers (CHWs) in China in 2013. A questionnaire of P-O fit, job satisfaction and turnover intention was developed, and its validity and reliability were assessed. Multiple regression and structural equation modelling were used to examine the relationship among P-O fit, job satisfaction and turnover intention.
  
  
  
  Multistage sampling was applied. In total, 656 valid questionnaire responses were collected from CHWs in four provincial regions in China, namely Shanghai, Shaanxi, Shandong and Anhui.
  
  
  
  P-O fit was directly related to job satisfaction (standardised β 0.246) and inversely related to turnover intention (standardised β -0.186). In the mediation model, the total effect of P-O fit on turnover intention was -0.186 (p<0.001); the direct effect of P-O fit on turnover intention was -0.094 (p<0.01); the indirect effect of job satisfaction on the relationship between P-O fit and turnover intention was -0.092 (p<0.001).
  
  
  
  The effect of P-O fit on turnover intention was partially mediated through job satisfaction. It is suggested that more work attitude variables and different dimensions of P-O fit be taken into account to examine the complete mechanism of person-organisation interaction. Indirect measures of P-O fit should be encouraged in practice to enhance work attitudes of health workers.
authors.affiliation: School of Public Health, Shanghai Jiaotong University, Shanghai, China.|School of Public Health, Fudan University, Shanghai, China.|Key Laboratory of Health Technology Assessment (Ministry of Health), Collaborative Innovation Center of Social Risks Governance in Health, Shanghai, China.
authors.forename: Mingji
authors.identifier: 0000-0002-8897-7603
authors.initials: M
authors.lastname: Zhang
authors.affiliation: School of Public Health, Fudan University, Shanghai, China.|Key Laboratory of Health Technology Assessment (Ministry of Health), Collaborative Innovation Center of Social Risks Governance in Health, Shanghai, China.
authors.forename: Fei
authors.initials: F
authors.lastname: Yan
authors.affiliation: School of Public Health, Fudan University, Shanghai, China.|Key Laboratory of Health Technology Assessment (Ministry of Health), Collaborative Innovation Center of Social Risks Governance in Health, Shanghai, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.affiliation: School of Public Health, Shanghai Jiaotong University, Shanghai, China.
authors.forename: Guohong
authors.initials: G
authors.lastname: Li
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002681:China; D003150:Community Health Workers / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D012044:Regression Analysis; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D017132:Workplace / Q000458:organization & administration* / Q000706:statistics & numerical data
keywords: Person organization fit; community health workers; work attitude