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# Care models: PAIS, MIAS and MAITE

- System and programme

Since 2016 Colombia has changed its care model several times: the PAIS policy with MIAS, then MAITE, then a model built on primary health care.

Updated Nov 13, 2026

## Key points

- PAIS is the policy; MIAS (2016) and MAITE (2019) were its successive operating models.
- MIAS (Resolution 429 of 2016) had 10 components, including population profiling, RIAS, comprehensive health risk management, territorial delimitation and integrated provider networks.
- MAITE (Resolution 2626 of 2019): actions and tools that, through inter-institutional and community agreements, coordinate the actors of the system in a territory under the lead of the department or district.
- MAITE has 8 lines of action: insurance, public health, service delivery, health workforce, financing, differential approach, intersectoral action and governance.
- The RIAS (Resolution 3280 of 2018) were born as a MIAS component and remain the reference for individual care.
- Decree 858 of 2025: preventive, predictive and resolutive model founded on PHC, with integrated territorial health networks (RIITS) and territorial health teams.

## What it is

The Comprehensive Health Care Policy (PAIS) steers the system from treating diseases towards managing the health of the population. Resolution 429 of 2016 adopted it together with its operating model, the Comprehensive Health Care Model (MIAS). Resolution 2626 of 2019 amended PAIS, repealed Resolution 429 and adopted the Comprehensive Territorial Action Model (MAITE), led by departments and districts. In 2025, Decree 858 adopted the Preventive, Predictive and Resolutive Health Model, which the Council of State provisionally suspended in October 2025.

## How it is organised

- Policy level: PAIS sets the strategic frame (people-centred care, risk management, territorial approach).
- Model level: the operating model turns the policy into processes to prioritise, intervene, organise networks and measure results.
- Territorial level: under MAITE, the department or district agrees an action plan with EPSs, providers and the community for its priorities.
- Tools that persist across models: population profiling, RIAS, provider networks and outcome indicators.

## Succession of models (status checked in the Supersalud legal database on 2026-11-13)

| Instrument | Norm | What it adds | Status |
| --- | --- | --- | --- |
| PAIS and MIAS | Resolution 429 of 2016 | 10 components, RIAS and integrated networks | Repealed by Resolution 2626 of 2019 |
| Amended PAIS and MAITE | Resolution 2626 of 2019 | 8 lines of action and territorial leadership | No express repeal on the page consulted |
| Preventive, predictive and resolutive model | Decree 858 of 2025 | PHC, RIITS and territorial health teams | Provisionally suspended (Council of State, October 2025) |

## Markers

- PAIS
- MIAS
- MAITE
- RIAS
- RIITS

## In practice

- For the doctor, the model shows in the patient's path: which network they belong to, what care is due for their life stage and who coordinates it.
- Pathway indicators (antenatal care, screening, vaccination) are the data the models use to assess EPSs and territories.
- Before calling a model current, check its status in the legal database: several have been amended, repealed or suspended.

## Reference norms

- Resolution 429 of 2016 of the Ministry of Health: adopted PAIS and MIAS (repealed by Resolution 2626 of 2019).
- Resolution 2626 of 2019: amended PAIS and adopted MAITE; Resolution 1147 of 2020 amended its implementation phases and indicators.
- Decree 858 of 2025: replaced part 11 of book 2 of Decree 780 of 2016 with the Preventive, Predictive and Resolutive Health Model; provisionally suspended by a Council of State order of 21 October 2025.

## Memory aid

PAIS is the board; MIAS set out the pieces and MAITE dealt them to each territory.

## Test yourself

Think of the answer, then tap the question to see it.

## What is the difference between PAIS and MIAS?

PAIS is the comprehensive care policy; MIAS was its operating model, adopted with it by Resolution 429 of 2016.

## Which resolution adopted MAITE?

Resolution 2626 of 2019, which also amended PAIS and repealed Resolution 429 of 2016.

## Who leads MAITE in each territory?

The department or district, which agrees actions with EPSs, providers, other sectors and the community.

## What is the status of Decree 858 of 2025?

It adopted the Preventive, Predictive and Resolutive Health Model based on PHC, but the Council of State provisionally suspended it in October 2025.

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## Connections

## Related 6

- [Primary health care in Colombia](https://durgical.com/en/epidemiology/primary-health-care-in-colombia/)
- [Comprehensive health care pathways (RIAS)](https://durgical.com/en/epidemiology/comprehensive-health-care-pathways/)
- [Colombia's General System of Social Security in Health (SGSSS)](https://durgical.com/en/epidemiology/colombia-s-general-system-of-social-security-in-health/)
- [EPS and IPS (insurers and providers)](https://durgical.com/en/epidemiology/eps-and-ips/)
- [The Ten-Year Public Health Plan](https://durgical.com/en/epidemiology/the-ten-year-public-health-plan/)
- [Health Situation Analysis (ASIS)](https://durgical.com/en/epidemiology/health-situation-analysis/)

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Educational content on epidemiological and statistical methods; the examples use made-up numbers to teach the calculation. Not a clinical or legal guide: current Colombian rules are in the official sources.

Sources: [Compilación Jurídica SuperSalud - Resolución 429 de 2016 MSPS](https://normograma.supersalud.gov.co/compilacion/docs/resolucion_minsaludps_0429_2016.htm) (Superintendencia Nacional de Salud, Colombia, 2016); [Compilación Jurídica SuperSalud - Resolución 2626 de 2019 MSPS](https://normograma.supersalud.gov.co/compilacion/docs/resolucion_minsaludps_2626_2019.htm) (Superintendencia Nacional de Salud, Colombia, 2019); [Compilación Jurídica SuperSalud - Decreto 858 de 2025](https://normograma.supersalud.gov.co/compilacion/docs/decreto_0858_2025.htm) (Superintendencia Nacional de Salud, Colombia, 2025).

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Representative model, for educational purposes only.

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License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/epidemiology/care-models-pais-mias-and-maite/