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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