The price-to-rent ratio is the purchase price of a home divided by the annual rent for a comparable home in the same area. It answers one narrow question: how many years of rent the purchase price represents. A ratio of 15 means the price equals fifteen years of rent; a ratio of 25 means twenty-five. Turned upside down it is a gross rent yield, so a ratio of 15 and a gross yield of 6.7 percent are the same fact written two ways.
The phrase names a second thing as well, and confusing the two produces nonsense. Statistical agencies publish a price-to-rent ratio that is not a multiple at all but an index: a nominal house price index divided by a rent price index, then rebased so that a chosen year reads 100. The OECD publishes exactly this among its house price indicators, alongside the two component series and a "standardised price-rent ratio" expressed relative to the series' own long-term average. A reading of 133 on that index does not mean a house costs 133 years of rent. It means prices have risen 33 percent relative to rents since the base year.
The relationship is also written the other way up. Federal Reserve Board staff research uses the reciprocal and calls it the rent-price ratio, in which a low reading is the one that means prices are high relative to rents. Joshua Gallin's 2004 Finance and Economics Discussion Series paper "The Long-Run Relationship between House Prices and Rents" states the convention plainly in its abstract: house prices are high relative to rents when the rent-price ratio is low. Whenever a source reports a direction, check which of the two it is quoting before drawing a conclusion from it.