Physicians appear to be quite pessimistic about the chances for improving health care quality, costs, and access in 2017, according to a survey conducted by InCrowd, a market insights technology firm.

Of the 150 physicians who responded to the 3-minute “mobile microsurvey” conducted on Dec. 4, 2016, 70% said it was unlikely that the cost of health care would improve under the incoming Trump administration, 69% said it was unlikely that access to care would improve, and 60% said it was unlikely that the quality of health care would improve, InCrowd reported.

“Our data show that most U.S. physicians are viewing the new Trump administration as negatively impacting the most significant health care issues facing the nation – the need to improve health care and drug costs, health care access, and quality of care,” Diane Hayes, the company’s president, said in a statement.