New approaches to the solution of a complex of medicosocial problems which should be not disregarded when developing the strategy of public health development under conditions of reformation of the Russian economy are discussed. An intergral system of medicosocial care of the population both at the federal and regional levels should be formed and the mechanisms and methods of its realization developed in order to pursue an effective medicosocial policy, which represents an integral element of the strategy of public health development, with due consideration for the social, economic, demographic, ecological, sociohygienic, and other factors. The author believes that medicosocial policy should be characterized by clear-cut strategic direction as regards all public health services.