Health care workers seem to have a whole host of worries, according to a new survey. And their confidence is getting worse because of them.

The Randstad Healthcare Employee Confidence Index, a measure of overall confidence among U.S. health care workers—including physicians and health care adminstrators—declined 4.5 points to 53.9 in the second quarter of 2012, according to an online survey conducted by Harris Interactive on behalf of Randstad Healthcare.

A good chunk of health care workers—43 percent—believe the strength of the economy is weakening, a significant increase from 27 percent in first quarter 2012. Only 20 percent of health care workers believe the economy is strengthening.

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Also declining from last quarter is workers' confidence in personal employability and the future of their employer. Still, half of health care workers say they feel confident in their ability to find employment. More than a third say they're likely to look for a new job within the year.

Despite a drop in confidence, Steve McMahan, executive vice president of Randstad US, Professionals, said in a news release that the recent decision to uphold the PPACA "all but ensures the future growth of the health care industry."

"The combination of healthy monthly job gains, coupled with the recent Supreme Court decision, further solidifies an exciting and promising future for health care professionals," McMahan says. "As this occurs, more and more facilities and organizations will likely turn to temporary, travel, contract and locum tenens workers to help satisfy their staffing needs."

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