本文旨在論述台灣護病比及護理費給付的現況，並透過對先進國家相關策略和成果，檢討台灣的現況，進而提出規劃構想。由於病人的照護品質與安全和護病比有直接關係，而護理費的給付對護病比有直接影響，因此要提升照護品質與安全，就必須建構護病比與護理費給付連動的機制。護病比與護理費給付連動是一個公共議題，因此建議透過公民共識會議方式進行，讓全民參與制度的規劃，以利未來制度的推動與執行。

This article describes the current situation in Taiwan with regard to the nurse-patient ratio and nursing fee payments, reviews the related policies and results in developed countries, and then proposes a plan for improving the domestic situation. Direct relationships exist between patient nursing quality and patient safety and the nurse-patient ratio as well as between nursing fee payments and the nursepatient ratio. Therefore, in order to enhance the quality and safety of nursing care, it will be necessary to develop and institute a payment linkage system that links nursing fee payments to the nurse-patient ratio. This process requires public consensus and planning in order to institute an equitable and effective payment linkage system in the future.